The URL can be used to link to this page

Home My WebLink About0016 KINGS WAY Il, h *nj3 Way J Z//6/'/2-- - Town of Barnstable Building Department Services Brian Florence, CBO g BARNSTABLE. _ Building Commissioner 200 Main Street Hyannis MA 02601_ !W.:a11 g915.OiilxYLL[•Gl'v+NR4S"it6lt Y - 1639.2019 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Notice of Building Code Violation(s) and Order to Cease, Desist and Abate: Bayridge Reality LLC 16 Kings Way,Hyannis MA 02601 and all persons having notice of this order: As property owner or tenant of the property located at 153 Hinckley,Hyannis MA,Assessors Map 311 Parcel 067 and known as residential structure,you are hereby notified that you are in violation of 780 CMR,the Massachusetts State Building Code-Chapter-1 Section-111,and-are-ORDERED this date 12/20/2018 to: CEASE AND DESIST all functions associated with the following violation(s)on or at the above mentioned premises: Summary of Violation: On 12/1/2018 I received creditable evidence&testimony of a violation of 780 CMR of the Massachusetts State Building Code Chapter 1 Section 111 Specifically,occupancy of an accessory structure(shed)without the issuance of a Certificate of Occupancy'. Summary of Action to Abate Violation: In order to abate this violation and to avoid further enforcement action by this office,commence immediately upon receipt of this notice the following action:No building or structure may be used or occupied for any use not permitted less than 780 CMR And, if aggrieved by this notice and order;to show cause as to why you should not be required abate the violation in this notice,you may file a Notice of Appeal(specifying the grounds thereof) with the State Building Code Appeals Board within(45)days of the receipt of this order and in accordance with MGL c. 143 § 100. If, at the expiration of the time allowed,action to abate this violation has not commenced, further action as the law requires may be taken. By Order, Edwin Bowers Local Inspector CC: Tenant of.Property Anderson, Robin From: Gallant, Therese <gallantt@barnstablepolice.com> Sent: Thursday, December 20, 2018 8:43 AM To: Anderson, Robin Subject: FW: 153 Hinckley Road Can we chat? From: Murphy, John Sent: Wednesday, December 19, 20.18 11:37 PM To: Gallant, Therese Subject: Re: 153 Hinckley Road On 12/19/18 @ around 2300 Responded to 153 Hinckley for medical call Tully called reporting John Kelly was having a psychotic episode Kelly told me he lived @ residence Tully confirmed he did stay.there Kelly was not dressed and located in a bedroom which he claimed was his. Kelly said he pays most of the bills @ the house including the NetFlicks bill Male clothing was in the room I located Jared Atkins inside the rear shed The shed has a regular dwelling door on it with a locking door knob. Inside the shed is a bed bureau etc. It is being used as a living quarters with electricity coming from 153 via an extension cord A unknown Female was also in the shed and laying in the bed The rear yard has a camper with someone living inside with Electricity provided via 1.53 with extension cord. A person or person(s)was inside the camper but I did not ID them because Kelly began to become combative inside the residence. The interior of the house appears to be heated via the fireplace The residence also has 2 dogs Tully claims also,live @ residence Tully and Atkins confirmed that Peter'Lynch and his girlfriend had been living @ house until she got the 209A Order Tully said the were druggies and she wanted them out so she got the 209A Order Based on the above observations due you think it would be appropriate for building and/or•health etc to visit 153 to address the rear shed and camper?? Lt J M LT Murphy Sent from my iPhone On Dec 18, 2018, at 12:03 PM, Gallant,Therese<gallantt barnstablepolice.com>wrote: 1 Y FYI, LT Murphy and I met with the owner of 153 Hinckley Road (Tully et al residence) to discuss the Chronic Problem Property concern there (67 calls for service in 2018) and work on a resolution to address these concerns. If responding to this household, or any other that might be considered a potential candidate as a problem property, please attach names with biographical information,their household standing (tenant/roommate etc.), notable violations and any levels of intoxication or 94C concern that might be observed. This information.is extremely valuable to us all in order to cite owners/residents and/or shut these places down. Thank you in advance! Therese Therese M. Gallant Barnstable Police Department Consumer Affairs Officer Office: 508-862-4667 Confidentiality Notice I This email message,including any attachments,is for the sole use of the intended recipient(s)and may contain confidential, proprietary, legally privileged and/or CORI information.Any unauthorized review, use,disclosure or distribution is prohibited. If you are not the intended recipient or have received this email in error,immediately contact the sender by reply a-mail and destroy all copies of the original message.This email message may be monitored by the Barnstable Police Department. 2 Town of Barnstable Building Department Services Brian Florence, CBO Building Commissioner BAMSTABI,E 200 Main Street Hyannis,MA 02601, �"�"=r��•� -2014 wa,mxs":us•wmFwe•zraw.",ne4 - � y � 363?-]014 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Notice of Building Code Violation(s) and Order to Cease, Desist and Abate: Bayridge Reality LLC 16 Kings Way,Hyannis MA 02601 and all persons having notice of this order: As property owner or tenant of the property located at 153 Hinckley,Hyannis.MA,Assessors Map 311 Parcel 067,and.known as residential structure,you are hereby notified that you are in violation . of 780 CMR,the Massachusetts State Building Code Chapter 1 Section 111,and are ORDERED' this date 12/20/2018 to: CEASE AND DESIST all functions associated with the following violation(s)on or at the above mentioned premises: Summary of Violation: On 12/1/2018 1 received creditable evidence&testimony of a violation of 780 CMR of the Massachusetts State Building Code Chapter 1 Section I 11 Specifically, occupancy of an accessory structure(shed)without the issuance of a Certificate of Occupancy. Summary of Action to Abate Violation: In order to abate this violation and to avoid further enforcement action by this office,commence immediately upon receipt of this notice the following action:No building or structure may be used or occupied for any use not permitted less than 780 CMR And, if aggrieved by this notice and order;to show cause as to why you should not be required abate the violation in this notice,you may file a Notice of Appeal(specifying the grounds thereof) with the State Building Code Appeals Board within(45)days of the receipt of this order and in accordance with MGL c. 143 § 100. If, at the expiration of the time allowed, action to abate this violation has not commenced,further action as the law requires may be taken. By Order, Edwin Bowers Local Inspector CC: Tenant of Property i TOWN OF BARNSTABLE BUILDING PERMIT APPLICATIONOF Map Parcel Ulu BARNSTABLE Application Health Division ri' i, gip° Date Issued /1—/7^ 15' p/la'— Tf Conservation Division Application Planning Dept. Permit Fee T i Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address /2 ti S GVG Q Village /ry14 11171 S Owner d 5 QL Rea46j LUG Address 40If V Telephone__ �'S�� Permit Request Gn6 hS5, cr9" wJ`/iil `ieu Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name 1. )10/41s ke,,,,k.4a Telep hone Number Address /G /6i07< 5 License # C S 6 9 31/ S v l Ai G^,1I-.f Home Improvement Contractor# 7 Tel Email d kzP464do 0t"a i l o (U / -I Worker's Compensation # :58 -a Ea?X/3-/ ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO ��w�C.I,-� SIGNATURE DATE f///b�/� FOR OFFICIAL USE ONLY APPLICATION# c DATE ISSUED x MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION i t FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING w DATE CLOSED OUT ASSOCIATION PLAN NO. = Trw Ctxrnrrtoan rassr�ttrt�t Deprk t of- I =&F dAccidwts - t�ce�r�'If�,r�tiorxs 690 Wm*h aa,meet � y Bowfarj,MA O rva anassga�`rltrt Workem' CompensatianI wuranceAffidavit:BuildersfCGutiractorsfFlectricians/Kumllers APPficant Iufarm,afion Ptease Print Legib . Nam. 03� nizafiimgndividnaO_ Address / � lyi r �✓°� 'I City/S1 abtfZ : 1,17r11 Pho=;g7 Me you an employer?Check the appropriate box: T of 1ect .r LqPiq am a employer with _ 4. ❑I am a dal c=tractor and 1 t5_�Fj New employees(B-01 aad/ot:part-time}* /rave hirerl'_flte mZ-contractors listed on the att�hed sheet 7. ❑Remodeling , 2_❑ I am a sole proprietor orpariner- - ship and ha;,e no employees Them sub-confractbrs have g- ❑DemolifFon worling ft>F me to any capacity: employees and have workers' Bnilding addition L`�workers' comp.-istmfsanre comlp.inset-Anr-1 _ required-] 5_Q'We are a cotporafianand ifs lfi?_Q Electrical r�+'M�adrl¢ions 3.❑ I am a homeu%mer doing all Work ofFi=bays exercised their 11O Plumbing repairs or,additions myself [No woo cs'oomp: ti&t.ofe�t Iion per MGL 12-0 Roofrepair% c-154 §1{4} and v.ehweno comp_msm-nm requu2d.1 *Any sages that checks boa 1l mast also M omf the sectionhelow dL u-*g wadrets�campe�mioa F T M=e-awneas orho submit this afhdsvd m&cstw g they am alamg sll:sadc s4 then hire onside cout ae rs mass smbmftanawaffidnit me;r�sarh tCoutmctoa that rhi lc this box must stterhed as add;dowd Sheet doses the name off the sr-amfxactogs and state whether txagt those eofties Em?e e mpluyees_ Ifthe mb<ontractms hxm employees,they mast provide their wmkea'comp.ptrIrcy madber_ I am an employ"that is pmiffd g workers'cot gwusat&n inmi ran rg for my emproyem Below is thepoYcy an.djob in,f ormadarz Y lamrance C.)mpanyName: �v lGc,n a v,Utgg - Policy; or i Li ` (I�3' a �� >3- ss fiDIIDafe: Iz r Jolt Site 14 ddress: ko, k,01&4-�SCib lstafcJT_tg_ r 1 l4 44✓Y✓1 u S ' A/9 C Q�dl Attach a copy of the trorkers'compensatitm po cy declaration page(showing the polity uuruber and expihratio-n date). Failure,to semwe caynerage as required unier Section 25A of MGL c. 152 can lead to the imposition of criminal p=dties of a fine up to$1,500-©D and/or one-yearimprisanment,as well as civil pees in the fosm of a STOP WORK ORDER and a fine ofup to$250-00 a.stay against the violator_ Be advised that a czpy of this statement maybe forwarded to the QTiCe of luvestigations of the DIA for inexaace coverage veriflicadon- I do hereby trader thapaitts andpena s uf'pedzuy thatthe artf'orratrlizw prini&�d/a ee ir. u�carrect SiEna Date: Phone i#: Off zdO£use Only. Dar not write in this area,to be caalnp�L-W by c4 or town official City orTowa- Peral f license It I'ssaing Author ity{circle one}; L Board of'HeaIth Bug ng Department C ityf£atsr,Clerk 4.EIectrical Inspector S.Plumbing Fuspecter 4-her 6.U Coutsct Person: Phoue#: 6 Information and Instruefions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuautto this statute,an employee is defined as"_._every person in the service of another under any contract of hire, express or implied, oral or written." An employer is&fined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer;or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. IFowever the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,constriction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or IocaI licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance,coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compli.aice v,,zth the insurance requirements of this chapter have been presented to the contracting authority_" Applicants Please fill out the workers'compensation affidavit completely,by checkiag the boxes that apply to your situation and,if necessary,supply sub-contractnr{s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited.Liability Companies(LLC)or Limited Liability Partnersbips(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance_ If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of industrial Accidents for confirmation of inctrrance Coverage. Also be sure to sign and date the affidavit The affidavit should be retumed to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at,the number listed below. Self-insured companies should enter their self-in�ce license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant Please be sure to fill in the permitIcense number which will be used as a reference number. In addition,an applicant that must submit multiple permitllice se applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit- The Office of Investigations would lice to thank you in advance for your cooperation and should you have any questions, Please do not hesitate to give us a calL The Department's address,telephone and fax number: The ComTno iv?W h of Massachusetts Degaztment of hidustrial Accidents Offim of kvesfgatiom 600 Washington Street Rastoi ,MA 02111 TeL i 617 727-49-OU W 406 or I-3 MASS-AFE Revised 4-24-07 Fax# 617-727-7-149 www_mass_gov'ldia 1�. MassacYiusetts Department of Public, Satety �'��r ("r vrrrnnrrr6••ar%(� �. %/.r ;nr�u.:�//; OfliceofConsuincrAffairs& 11"Sill SsReg"I"tion F3oard of Ciurldiny Regulations and Standards ;i -(1 OM IMPROVEMENT CONTRACTOR 'Type: License: CS-093445 - egistration: 177919 Yp r V T.y ' Expiration: 2/24/2016 LLC DENNIS KERKAI)b BAYRIDGE REALTY LLC. i 16 Kings 12oadr fd 11yannis MA 0266t DENNIS KERKADO - 16 KINGS WAY rr-- � J..,G»• _�j�, Expiration HYANNIS,MA 02601 Undersecretary Commissioner 02/26/2016 Unrestricted - Buildings of any use group which contain less than 35,000 cubic feet (991m3) of License or registration valid for individuf use only enclosed Space. i before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation 10 Park Plaza-Suite 5170 Boston,MA 02116 Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. �' _.._.__._.__.....-.._.. I For DPS Licensing informaeior,vr,rc. j I Not vali wt out signature �f CERTIFICATE OF LIABILITY INSURANCE DATE(MM!DD.YYYY) T. RTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require and endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements. ' CONTACT i PRODUCER NAME: %,I URRAY k NIAC'DONALD INS PHONE FAX »O VIAC'ART}1L'R BLVp (A/C,No,Ext): (ArC,No): EMAIL BOURNF_MA 02532 ADDRESS: 75N1IN INSURER(S)AFFORDING COVERAGE NAIC# I INSURER A: ATiERIC.AN ZURICH INSL11t.ANCE Ct�1IF ANl INSURED BAIRIDGE REALTY LLC INSURER B: ? i INSURER C: i INSURER D: lip KINGS WAY INSURER E: i H YANNIS.MA 02601 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT.TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN.THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TEAMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADD SUB POLICY EFF DATE PQLICY EXP DATE LTR TYPE OF INSURANCE L R POLICY NUMBER (MM\.DD�YYYY) (MM'�DDIYYYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE S COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED j$ CLAIMS MADE OCCUR. PREMISES(Ea occurrence) ED EXP(Any one person) is I PERSONA'_&ADV IN.IURY $ j GEN` AGGREGATE:IMIT APPLIES PER; IENERAL AGGREGATE w i l! POLICY E]PF.CJECT F'�LCC PRCDUCTS-COMP.?OP AGG AUTOMOBILE LIABILITY COMBINED SINGLE ANY AUTO LIMIT(.Ea accident) A_L OWNED AUTOS BODILY INJURY S (Per person) SCHEDULE AUTOS ' BODILY INJURY iS HIRED AUTOS ;Per accident) NON-OWNED AUTOS PROPERTY DAMAGE is "Per accident) U(13RELLA LIA3 OCCUR EACH OCCURRENCE jS EXCESS IA5 'C AIMS-MADE AAGGREGATEL $ IS DEDUCTIBLE S RETENTION y _ WORKER'S COMPENSATION AND j WC STATUTORY' :OTHER; EMPLOYER'S LIABILITY YIN )B-2i-276813-15 02i21l2015 0221/2016 t LIMITS t i ANY P90PERiTOR;'A.RTNER�EXECl1TIVE YN,A E.L.EACH ACCIDENT S 100,000 OFFICErT IAEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE;$ 100,000 (Mandatory in NH) It yes.desuib=under E.L.DISEASE-POLICY LIMIT is 500,000 CESCRGTION OF OPEFATIONS helow DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLES/RESTRICTIONS/SPECIAL ITEMS THTS REPLACES ANY PRIOR CERTIFICATE ISSLIET.)TO THE CER11I.1C?-J'EHOLDER AFFECTD._C.WORKERS COMP COVERAGE. I L CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. �.tt AUTHORIZED REPR Et�TA�VE { rl? t'- L-•� ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD 1988-201D ACORD CORPORATION. All rights reserved. YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L.-it does not give you permission to operate.) You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1 st Fl., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required by law. DATE: 5/4/2015 Fill in please: �Fw "Al tr., „h APPLICANT'S YOUR NAME/S: Richard A.Bennett & Joseph M.Loud "Y CAN.M,W11 4" BUSINESS YOUR HOME ADDRESS: 188 White Oak Trail 382 Lake Shore Drive pR� 508-360-2040 Centerville,MA 02632 Sandwich,MA 02563 . TELEPHONE # Home Telephone Number 508-360-2040 508-982-0888 xi NAME OF CORPORATION: B&L ADVANTAGE,LLC NAME OF NEW BUSINESS B&L BUILDING&DESIGN TYPE OF BUSINESS Home Design&Project Mgmnt. IS THIS A HOME OCCUPATION? YES NO X ADDRESS OF BUSINESS 16 Kings Way Hyannis,MA 02601 MAP/PARCEL NUMBER 328/009 (Assessing) When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. — (corner of Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING COM SSIO ER'S OF Kan This individ al _ e InfiiSr a per it re uirements that pertain to this type of business. ut zed na r f COMMENT . 2. BOARD OF HEALTH This individual has been informed of the permit requirements that pertain to this type of business. Authorized Signature** COMMENTS: 3. CONSUMER AFFAIRS(LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature** COMMENTS: Commonwealth of Massachusetts -� Sheet�Metal Permit Map Parcel �O� Date: WP.RES,S PERWV,4 Estimated Job Cost: $ on-0 SEP - 6 2013 'Permit Fee: $ % Plans Submitted: YES NO Plans`Reviewed: YES NO TOWN QF� �r�, � Business License# - Apphcani'ce# t � Business Information: R Property Owner/Job LocationAnformatibnJ �4 Name: Gam:n 3 G Name: 'F� Street: _3® is AVe Street:- City/Town: dv Mo L14#0 )-n City/Town: AMA AT� Telephone: 5-0 3 (o®—3 Telephone: Photo I.D. required/Copy of Photo I.D. attached: YES n� NO Staff Initial . J-1/M-1-unrestricted license J-2/M-2-restricted to dwellings 3-stories or less and commercial up to 10,000 sq. ft./2-stories or less Residential: 1-2 family Multi-family Condo/Townhouses Other t s Commercial: 0 e Retail Industrial Educational Fine DePt- PPro Institutional_ Other .�E Square Footage: under 10,000 sq. ft. over-10,000 sq.,ft. Number of Stories: Sheet metal work to be completed: New Work: Renovation- ' HVAC V Metal Watershed Roofing Kitchen Exhaust System Metal Chimney/Vents Air Balancilig Provide detailed description of work to be done: nn n Apr= NSURANCE COVERAGE: have a current liabili insurance policy or its dquivalent which meets the requirements of M.G.L.Ch. 112 Yes [g No ❑ f you have'checked`S!L indicate the type of coverage by checking the appropriate box below: k liability insurance policy Other type of indemnity ❑ Bond ❑ I YNNER'S INSURANCE WAIVER:I am aware that the licensee does not have the insurance coverage.required by Chapter 112 of the Jlassachusetts General Laws, and that my signature on this permit application waives this requirement .� Check One Only Owner Agent ❑ Signature of Owner or Owner's Agent . . '• 3y checking this box[], I hereby certify that all of the details and information I have submitted(or entered)regarding this application are true and iccurate to the best of my knowledge and that all sheet'metal work and installations performed under the permit issued for this application will be n compliance with all pertinent provision of the Massachusetts Building Code and Chapter 112 of the General Laws. Duct inspection required prior to insulation installation: YES NO Progress Inspections Date Y Comments Final Inspection Date Comments Type of License: y r❑lMaster - �le ❑ Master-Restricted (/v) 4/Town ❑Journeyperson Si gnature_of_Licensee armit# ❑Joumeyperson-Restricted License NumberR27 Check at www.mass.gov/dol soector Signature of Permit Aoorovai . The Commonwealth of Massachusetts Department of Industrial Ac dentr Office of Investigations '600 yWashingtan Street, Boston,MA 02111 wtuw.mass.govl&a ' Workers' Compensation Insunn.ce Affidavit:B'¢iIders/Contractors/IIectridans/Plumbers Applicant Information Please Print Le�iblY Name_(BnsmessslOrg�izian/frciiyirina�: C 14� (oTi g, City/Stat&7_1p: �MO►I�1� m n Phone.- .kre you an employer?Check the appropriate bow a of i-o1ect Creguired): ; 1.❑ I am a employer with -4• ❑ I am a general contractor and I - p : employees (fan and/or part time).* have hired me snb:-contaztorss 6. L]New construct[c,,, • 2:W I, a'sole proprietor or partner- listed an the-atached sheet 7. ❑R=Ddelmg �—�ship and have no employees. These sob-canjractozs have S. Demolition, Working for me im any capacity, employees-and have Wogs' [No workers' comp:msm=e, comp.n,ema„ra.#, `9 []$a7ldmg addition required-] $. [] We are a corporation and = 10.�Electrical repairs or additions 3.❑ I am a homeowner doing in-work officers have exercised their 11,[]PhrulbingrCpairs or additions myself [No workms' cam. right of exemption per MGL ins=nce required-]t c.152, §1(4), and we,have no 12.[1 Roof repairs employees. [No worlan' . 13.❑ Other camp,fi.mu=e required] *Any applicant that chccch box#1 most also M oat d=sccdrm bdow showing fhcir vm3='ccmpmsatioa poficy in� t Homcownen who sabmrt this aindavit indcafing they are doing all work and thin him mtsidc contract=must submit a new afndavitin icat�jg such tCantzactiocs flat ch--k tbis boo:=st alfached as additional sheet showing the name of the sub-conhactars and stall whcfficr ornot tbom eo ifm have cmployecs• If fbc sub-cantmcstna bavo cmplayr-s.they nmstproyi&fficir workers'comp,poficy a. I am an employer thm is providing workers'compensation insurance for my employees Below is th information. e policy and job.site Insurance Company Name: J Policy#or Self-ins.Lie.# - „�F.xpiratinnDalE: Job Site Address: CIIY_ / : Attach a copy of the workers' coropensation policy'declarafionpage'(showing .the poky number and expiration date). FaY-Irrre,to.secum coverage as required under Scaddi:Mk ofMGL c. 152 can lead to the imposition Of cihi] enalfie fin s of a s up to $1,500.00 and/or one-year imprisonment, as p,en as cif perms in{�k�of a STOP WOkK ORDER and a fine of np to$250.00 a day against the violator. Be advised that a copy of this staffmerit may be fDrwarded to the Office of Inyestig!tions of the DIA for i mumpe coverage vedfinaf;rm I do hereby certify der the pains-and penalties of perjury that the information Pr, qvided above is Prue grid correct �i�atare:. co Phone#k., ,ti Dfidd use only,, Do riot write in this area,tb be ca lesed _ mp by city or-town offi.>=ia1 . City or Tower: Permit/License# •Issuing Ainthodty(circle one): ."1.Board of Health 2.Bmlding Department 3.City/Town Clerk 4.Electrical Inspector S.Plumbing Inspector 6. Other Contact Person: Phone#: -� �7F , Toni of Barnstable } t Regulatory Services r neartsrasra, , 1$$ Thomas F.Geiler,Director Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.ns Office; 508-862-4038 Fax: 508-790-6230 Property Owner P '�Y Must Complete and Sign This Section If Usi_fig A.Builder , I, Asa I'�a..Li� W r loCA rt is �cc Owner of the sub'ect "ro a J P .Pay hereby authorize r�V C�177 q li h to act on my behal� in all matters relative to WOA[authwized by this building pPrn,1't 1 �Gra S G,,� (Address of Job) Pool fences and alarms are the responsibilityof the e applicant. Pools are not-to be filled.before fence is installed and pools ate not to be utilized until all final inspections are performed and accepted. Signs e of Owner Signatute of Applicant I�cnnis K�✓lCc.�o .`� ��_ �C . Print Name I I Print Name Date' Q:F0xMS:0wrrE"ER.1v0Si0Ntr00is t 'T, � Town of Barnstable L Regulatory Services HA2N Thomas F.Geiler,Director ..1639.saes. Blinding Division i M Tom Perry',Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town..barnstAble.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTTON Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is, or is intended to be, a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the.Town of Bain table Building Department rninirnum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official w Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction:Control HOMEOWNER'S EXEMPTION The Code states that "Any homeowner perfomring work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,'that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15).This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her resporsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsitilii6 of a Supervsor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certifieation for nse in your community. Q:forms:hcmeexernpt ,f l COMMON_WEALTH OF'MASSACHUSEtTS s S EET METAL WORK RS A<S A MASTER UNRE$7R1-CTE 13SUES i THE ABOVE LICENSE TO ` y PAUt_ A4. C. RRI'GAN 1i m PO BOX 2D84 F TEATICKET } } MA 025;36 2094 K ; Sign TOWN OF BARNSTABLE Permit * BARNSTABLE, 9 MASS 1639' � CEO MA'S A Permit Number: Application Ref: 201305935 20070917 Issue Date: 08/28/13 Applicant: INTERSTATE SERVICES CORP Proposed Use: MIXED USE OFFICE & RES Permit Type: SIGN PERMIT Permit Fee $ 50.00 Location 16 KINGS WAY Map Parcel 328009 Town HYANNIS Zoning District HG Contractor PROPERTY OWNER Remarks . 22.4 SQ FT SIGN BAYRIDGE REALTY DETACHED Owner: INTERSTATE SERVICES CORP Address: 96 SUMMIT ROAD PLYMOUTH, MA 02360 Issued By: PC j"k AA 15-4 POST THIS CARD SO THAT IS VISIBLE FROM THE S BEET ;r Town of Barnstable t�r - °� Regulatory Services • s aAarssTABre, 'MASS. Thomas F.Geiler�Director Y � , �'ArE169..,A`e Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 , www.town.barnstable.ma.us Office: 508-862-4038 Faux: �508-79790-6230 Permit#`V V ✓" Building Official approving Application for Sign Permit a Applicant: —_--Assessors No.Q V1hlSP.✓ktt�p _ _ 1 —_—_-- _—_-- Doing liusiness As:_�.�(L4,r4*, Ret.L!'1-y� LLC _—Telephone No. Sign Location Street/Road:___16_k I A 5 LV&4 S Zoning District: _Old Kings Highways? Yes& Hyannis Historic District? Yes& Property Owner > Name: 1 f/1 d* ]LeAk _ Telephone:— Address:_ _Kr% S_ W _—_--------_-----Village:___ US—_-- d - Sign Contractor _ket ka do Mailing Address:-qC_Svc,i+,. � . XL _ J�� e"C;a-it, ('a 3 6o Description p Please follow the cover directions.You ni st have an accurate rendition of sign with dimemilons and IM location. c� CO i7E, Is the sign to be electrified? Yes (Note:Ifyes, a mi-ingpermitis required) k +j A Width of building face_��_—ft.x 10= �D_x.10=_ _ Check one Reface existing sign--or New* '.Total Sq.Ft. of proposed sign (s) )a�l ti r- if you have additional signs please attach a sheet listing each one with dimensions _ If refacing an existing sign please provide a picture of the existing sign with dimensions. I herebv certify that I am the owner or that I have the authority of the owner to make this application, that the information is correct and that the use and construction shall conform to the provisions of §l 40:5J through§140-89 of the Town of 13arnst le �7t'ditra _Signature of Owner/Authorized Agent' _— — —___ Date��3 SIGNS/SIGNREQU revised 12110 z a Sign Specifications Customer: Bayridge Realty, LLC, 16 Kings Way, Hyannis, MA 4 Dimensions (See Scaled Drawing:) Sign Dimension: 3' 2" X TO" X 2" (22.4 Square Feet) Including Post: 4' X 8' X 6" Materials Post: 6" X 6" Granite Sign Backer 1" Sign Grade MDO Plywood painted Black Carved Sign 1.25" Clear Pine, Hand Carved, 23 Karat Gold Leaf, Painted Burgundy SUSS �:M r ri�ll��il�r�i■i � � rrrr ■ M �m Mr r �! rr M■ mE r!!i r■MME rr■rr�rr�il�� ■r! rr r ■� tr■r� Tail q 0.$4 0�fm l man Mlir � ► '3i �» y . � $ � srt1 ;wu� w� r� a^�t i " t�3 i mass 4r ■rirr OlUsUS �trrs■rMr ■■! i MUSEUM AIM arirrri/a ■Ei �nRNii■M �°si�aics ■s mamma a �■!r rirlilru! Mm/lEEM iir�t �� iiMM it •m �� rrrr its �iEti �i�� mii�s sit i■ /ME ME MM on mum ! r riiiii! rrii /rririii�i� �i r ■ rmrErm�rr r/rrr sM■sl�ts ss®srsr amr=MM/ii �i� r� I NS .ram:ii rm■M ■ r . .r■ rlirr i r■rmrr r!■ ON Urrr �rr �r ■irsia�irE■is� ■ ir■5 rr ■ ne an MEN irmr Erg r�i U OR ilk � ' ® ram®■si�sMr■�c®r ■r rr■r ® r ■ s� �lr �� ■�iirrr��i�i �Ym!■■ ■riri■r r�■■� ■ ■ ■r■atH �i�at■ ■ ■ ��ane■ aaetaeeat :■�� ■■ um ■■■i i■ ialr ■i■HHr� i ■ ■ r■ae■■ima ,a= t P t r■H ,. � 1 � f�"t �:� � Spa . . i. '� � '�-��.�� yr, �1 �� HH1Y1!■ ® -_ - ---- ------ Ili raaasuaeeir■i a�eri ii _ _ �i� m ■■ ■■rr■� �si�ac�a �w �■m� ■ee i� ■ e■eetit� ■ O■■ at■■■e��e■ i ■ man ■■r ■eeeeH i�■ME noun iE� a ��®i�iniir ■■m�ii■� eeet�aH ■�o�� rsatasn�i �■� ■i■ ef■at■�ie r■ ttt■ ■■■■ mmi■ iNEWME a��i ■ia Hr rs ■■ii��i m��i mer■ ■■■H■ ■ ■at�■ar eeHia�eeer ats at■■■ ■e�atH ttu'�■ �iiti�tit ■■ ■■■ r■ H■ MME■ a� H ■ qai rage ■r �■i�i � ■ s■■ at■� tea � ■Hat■ ■■at■M■r no ii iEME atiati■ir■H Mat■ sH■i rar■a�t■rri rH■ sr eeeeraae�e toga �tii ■■■ ■•IN reeve Hr atH ■ ■■ � eve ■`�■ �t@at H■HH■tt!■ ii■ Hatt MEan ■i■H r ■ ■mum ■ �ar■ ■ ■ ■ ME uweeisirati liar _ --�,-----__._� ..., _,_-- - _ ____ ■ �■ r■rii H ■■ ree■� ■ ■9[ttit■■tut d i �ei �eiee■ ■ ■ ■ rH ■� Hiraf■� �, atH■ ■ ■�■■ ■iiHi�it ONEon e�ai■ ■ ih *"Pi.�pii,+n� q3�, Fes,x - °. bMd ► .., r ar, L 4 ME q ""'iF. �� fMMi fE' 'R "�I14 `�� i�•.tt v w ,,, yob +t�'.". "' S �� ■ati ■ ee■■■■eu ■i �■■�■sH■■�■ ■■�nei �e ® �t■■■ ■�■■H Hee■ at■ INH■�t■■s� re� ■twt■H■■a�Hi■■ ■■ ■ ■ ■ r■ r■■ r ■ ■■ ■ .�■rrr awe ■ MEru ■Emma r EE■E 5 $'s�yylaSt�e �kw� ■ 'AY E 4 Y�3� i y� �,`'"` '�1 17Z C E�MEr■■ 9• l�r ;, fit.._ _ _ E%rn .■■an MEN SKIN ■N ■■ r■■■ EWES E� °�iii■■E� ■ r■■u■■■■■ ■■r■ i■ ■■ ■ .EEC WE E E riE■■ ■ ■ ■■ ■ � ■ on 9 ■ SO MR .■d■■■■r. ■■ ■ �■.■ ■■r■■s t ■mma ■ EEE mo■■ni�i R■■■r SEE WE CAE:: : ' ■" r :3a a n ■■ ■■, ■.■ i■■■ Wils ■■ mug■■ . - - ■.. E; ii■■■ .�E■� ■.■ ■■■■■■■WE ��■■..■ ■rat.. ■ ■ � .■■■■n PER■■■■■ � ■■■ ■■ H an r :l�A,g ;"k..", ■� �a .ys"8 1 �a�A.R�'Ra� Can � � � � � � i4N s�y�iy �5,�°�.wx S�"8 � a IVOR law UN .■ '7��' a+ .��+�� `7�"� �- g'r � �•� 4 f.c3M �' sa �f#' � a•'? �pok �5k�,"^�,� �,:,r - • r a ont 01 r s � Y it m { n� q. Y • ;, '•• 'il' ...- X : *� .. �� ?` w a• � r ;. c. t s*;uy ��,,, ''b .,:� c�1 � ,�,,,.,. •.,k,�'. . ,.-. `�.• -r � may, "e* >3. ?;, ' '^i-K2: , _. _:;w•., �' „�,, r.` '} �+�'.�;.*�`t x "'. 8. `b;+�'+t�#�tg k�,..�+"-�i�1`" ik�'�"s a�"4 "3�-. � N-'i Ng' �a .: ' "'r �`-. � �;°�' i4.- .er -as ++'v+� ,!'• .w�•(, `,. .•.},s��'.. '3�;�{`� ,.'S.x to y,tf,a�"YC'�h� ::>.3. g y?x:"''`•.y",..ifi%:w .'.:.'°"' ^, ", :.<., •.,.,.? .. '+:r '^ WTZ ;�+�'"P :� ._<,.., .*�:� •;^.stY.; ,' `"" .,' 3 ,�•'nk"s",.rrn< .;rX�. ,.,-�.� �'a' ,.r''.ae n :' �� " ...'•�.:,..�."t-r.�:. �fi'a"�.� ��.-..t-t�#,,to '�: , 3 .�... � :::'", 'P:,T .`��€jam ..- .:�„;�. n� y r;»t.z �.'.'z �--r'"s'�-� Y �3`` 'f%x+y �.et' �",.✓.�r^.�".�e,3 �'. ..�Sr-" ,• ,.... .-. ..=wri =�'��. `.:t:. � _�{A. NIL „ � «,fir a„r- �,. ,�,q ^5`r$:�^a�.- a* *• "�a.r. tzt" ..t ',`.;yam. �r F� =?'.s #` "'`"":4-r t s,<k`3€�` `.r„F , . -40 kZ -�.::°" 4 ,.;�•, ?s'r'' `"f°`'�Y,'. +S^ 'a `tkW �tY 's'h sT "a3�i5�4'''�`+r f.'.... .;* >-. '• rim� 'r��.:. "s. `.v kk,�.. ,r y*,^:.. .�'S.*yIs�'t;,J'> .*��X^Ys-:f.. ,��.. ,t* x�� 'hr� ,>•,;�' 'tXR ''4 y�v�{ ..f y+ r � ��r-.', +� -`, +'". ,;.�,�• :.fr, "�� .e..•r.}v* -v.Y�3,. - `�e��. '�'z ,r '�, r� ::r'S' r1 < X ..:+�r .� jk€{� r ';4"t�•`• 1-"r s5r � 4}E,4:4r w. rz �t X �•• ,_ "� .;: °` :1' .v"4'h+ .'>e,.• '; ..w ' , -arY� 4.;' k. '. >s: •gr �� .� *"P$ 'i'. �� t.,. t-d '•'s.'s� F�f F1`i ��, �,. •. ��b�ti'"'� �' S x°�"S'•�c�w.> ,ems �'y c';��+.,;�...'`. �c-F�..�t 3 .,r,. -...S..'s� r ;� "...� 1G." i� r'r ..+a�-. : .. .., '�. ": ".:yr+' s. "�. �'«;:�� s2� s "`"�r....�: `" -7�„� �.��ti z ..r.`. � •- t -..#. .• �'a. •'-''' "" s. .ft„'�.,• j `w Y •i e,;w.� ,�e� , ,.`, ..,r.+ �'S{'r�` '�i'-3�*�• �-�:s 3:y�'�w�rs'.:C�.y�-`"4,eic"?w*..t .;-s.� x _ +��^r� r. i.. �� _ '� +�-1 ice. .• «ems� ��x t,-� .+�, s:: � � ,,.�" -.e- .•y.� 5-"s. t;r+Y+. "• ».1.*F`+��ys-+t i y,<x`t `r'� -..P t 4a ^naa "3,�"*L�, :.k .":!t. a x '; ='i-tr.:a '�F4 'ti X s.:�T yy.,'"': •�s'.:_s 'S. a r.� 5 .�.r�:.�t 4 ''•''der jv 7-'�.. x � vy�- r�� :; may.- � C t � 116 F jA � ="* � � +�r '' 'tea'• $ 1n -L t ..°-�. wy t t t a ��,# � *F .- -�,� 4 �t`�� ;-- z , :.y�`i ,, q,.�^.�^x a '�"`.`}",r � • . ,e',�n•,s "- "f- a ^r= +� t�`'; °�:5 t�'*rx s t .,� � ,.;; .afi..• t r k �� fix.�t r ,.:�' *' •:°: ' •�-'�`: :{ ''�' 1'r"t" r"''•�� ".#�"� �``' � ,f,.� '�' �� K �R;�t� _�.�rt��"� a1'ir�' �,r;t,�,..� �:�.�.y � ,t•``Y u'��w vA s,.. ice..Y, }�. „p " ,'"y>' S:. :.:,n.c � �.r . fr «`v -` ,,,.�,„" •z :,:: t `'a Y•.oas: �`�'='- 4 'si.'E r. r ry `''1-.<. .'„`.F<.- ,�:.. E .i y, k. • 7 s r , r CLEANERS,,; ..a. .� SBi�� i; 'i�� 1.� �� ;'��'�.' � � ,_,..gut•--"�_. �•�.,�i� � �l ��j � �" � r� x"` c _ s� t 1 _..,. d i I I t R pi L h-e 3 N4 tt' 41 to tw *fit '� • �+ �:s^i4 5. w41 ok4 •' 4f r` A It ,] t + k. • • ire ti M'. � � r � � tiy�'� ,�•¢� ,�, .��ter. j „ y UEN ERINV y t" _. M ..� ... AOUNAMIM •� • + 4 4' s �1 �� ° _# �„�!.'y �'iJ. y: � � fir� �►� _,�/�y s�' *,�.' ♦ p��'�' x '�` "' '�,. ""+ fir` -'� � { 1' oil CiULDB ' � RG 31 LLP & 'WEIGAN ** s f Of ti aw. , cu capellt Ul r i • Ali, L.c a • y k �� if �., `""tip• , � , � 4" - w Ilk * P" Town of Barnstable *Permit# ��3 d� �o Expires 6 Iko-issue e Regulatory Services Fee r ; i AARN4T1Ai.F g Thomas F.Geiler,Director1659. s— Building Division Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town barnstable.ma us Office: 508-862-4038 Fax:.508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number 3� Q Property Address 4 S Residential Value of Work IS1 UV 0 Minim fee of$35.00 for work under$6000.00 ( Owner's Name&Address &Lif,1 " � ��•�;} �2� PI � oat : . . . Contractor's Name /'1 Telephone Number Home Improvement Contractor License#(if applicable) (03 72 Construction Supervisor's License#(if applicable) X-PRESS PERMIT. . ❑W orkman's Compensation Insurance JUL 1 12013 Check one: ❑ I am a sole proprietor ❑ am the Homeowner have Worker's Compensation Insurance TOWN OF BARNSTABLE Insurance Company Name ��'1L W►N� /7�� Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) Re-side #of doors Replacement Windows/doors/sliders.U-Value , 3 (maximum.35)#of windows -1— ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. . Separate Electrical&Fire Permits required. *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the m ovement Contractors License&Construction Supervisors.License is r e SIGNATURE: f rmX1 Wlp FSC dnC : . hie Co ,• ,�� Q, ce©f�nnd�s�rial t�cc�d f��vestig�i°t� 611®�Pirs�ingtoa weed'- T Barton,MA 02111 wwW: 1ram9OP k Woakers4 Compensation Insurance,Mdavift BuRderdConfracto I fee ei�ts 'l bets A_pplieata�Information Please PriaE Leffibfv Ass: ------------- Are an empfapez✓7 Check the appirtrgriabe&o� Type of pro)eet(r - 1_ I am a empfoyer with Z - ,4. [�I an a geueret contrackir and I 6. New Construction, emploYe�(�aad/or -time). -have F�the suers I am a soft ptaprifor or partner fisted an the aftchid sheet f` 7. ❑Renrodcfing ship and have no these , �P�Y� have $.-�ITeanooru. woflffmg for me in any copu$y, v¢Oeas' 9- Bnitfg admm [No vas'corrrpf iarsur mm 5. ®We ac a carpmution and its requim&j oTceashave cmmimd their 1&0 Electrical cepaiis orad'ditions, ; 3-01 am ahonwma doing are wank H&of c%=Tfion per MGL I LEI ghrmrbing repaEm or additions. mysalE[No works'camp,. M 11(41-andvv+e have no " tvoqakaLjt emF (Aiow+&s' 1ORoofaepans - Comp-kisuraftce f3j�'Odierjj!/ 1 *Any qvNemaduachecks bm a amtsho If Pdky tiam l v s�osu5mia�s E�9� aQ E.� atmean�ema a�ncsa�csa5mfcsncwamdmj'kccarmg=& 1Cbramct=Mgcb:ck8tbm mod au cbcdam �na�snft6esab�o ora�tb �cm .po g►ii Os d am=vqphyLr&ir&FrIDdit wv11;ej*P=Wgma&n&n==jOrxW mrkW= ge&w ALE' pgSw aadjab SrfE Nam Policy or Setf-ice.Uc Eq&rf en Date• /—�1 "zo Io Afte A a rL U.9 `a eoyothewokrsme btfy� h n is p eop fcy dcUMMOa pag (showg the parley iwim'and s� date). . i`aMm fo secme coveaage as required wader Section 25A ofMC3L c.IS2 can kad to fife impaskiaa of cried peaftes of a fine up to S Is590.00 anri/or owe-Year hFiso6unk as Leif as civa frenattim in do fin=of MW 'WORK ORDER and a fine of tap to$250-00 a d$y agaiamt*e VtohriM,Be advbcd Ed a copy offt sfafememt may be f wwmded to t6 Office of I WeMgEdMM of die DI1 for mi ee catteragc vesrficatiam. ' .- F� aaad�renafdes mfF ��a�rarapr�►vlydeFiabove��c ozera S Date: Phan ortFp.l?o no wrae task are%to be mmkted bye*uptown a,� �ermf�;lechse� - ;:IS3aeng Aa MY(Chdo.one L1.1asf WPM X B ffili rgDepartmeart I Cily WIL Clerk 4L EleericslI>pspeeba€ S phmd f Impectortsi RACAM-1 OP ID: MD CERTIFICATE OF LIABILITY INSURANCE DATE(M 07/11/1 YYY) 1113 IS CERTIFICATE IS ISSUED A� A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THV CERTIFICATE HOLDER, THIS ERTIFICATE DOES NOT AFFIR IATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($), AUTHORIZED REPRESENTATIVE OR PRODUCED AND THE CERTIFICATE HOLDER, IMPORTANT: If the certlBwte ho ler Is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WANED, sub)ect to the terms and conditions of the W, Icy,certain policies may require an endorsement..A statement on this certificate does not confer rights to the certificate holder in lieu of such en orsement . PRODUCER Phony; 508�ZJS-800 CONTACT Kerr Insurance Agency,Ina NAM Scott Kerry Fax:508-2�40-1860 PHONE FpX PO Box 194di xtt: -Noh. C.MAII. - North Eastham, MA 02651 W.Scott Kerry INSURERS AFFORDING COVERAGE NAIC a INSURER A!Associated Employers Insu ance INSURED RA.Campbell EnterF •ises Inc. INSURER B; Ryan A.Campbell 126 Bayridge Drive INSURER 0: South Dennis, MA 021 50 INSURER D INSURER E INSURER F, COVERAGES ERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLP. ES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANP REOUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICW THIS CERTIFICATE MAY BE ISSUED OR M Y PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 181 SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SL :H POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. I TA ADDTYPE OP INSURANCE L 9U♦iR O POL CY EFF PO CY EXP GENERAL LIABILITY EACH OC LIMITS CUR ENGE 8 COMMERCIAL GENERAL LIABILITY P57WR RESIQ H FNTFD ce $ CLAIMS MADE OCCUR MED EXP An oneperson) S PERSONAL&ADV INJURY GENERAL AGGREGATE F GEN'L AGGREGATE UMIT APPLIES PER; PRODUCT$-COMP/OP AGO S POLICY Lj PRO, LOC AUTOMOIDILE LIABILITY COMGINLU SINGLE I �gCCltlent) 1 ANY AUTO ALL OWNED BCHCDULED BODILY INJURE'(Per person) S AUTOS AUTOS BODILY INJURY(Pnr accldenq S HIRED AUTOS NON-OWNED PR IY DAMA ALTOS $ (Per accfdenfl,, S UMBRELLALIAB OCCUR EACHOCCURFENCE S EXCESS LIAB CLAIMS-Mr iE AGGREGATF_ $ N& - S WORKERACOMPENSATION WC STA II- OTH. AND EMPLOYERS'LIABILITY A ANY PROPRIETORIPARTNER/EXECLTIVE 9009706012013 01/111 01/11/14 OFFICER/M L,EACH ACCIDENT $ 100 0 F,MBER EXCLUDFD7 NIA , (Mandatory In NH) .L.DISEASE-RA EMPLOYE R 100 OD If ae deaeNbe under r I O TIO ^ E.L DISEASE-POLICY LIMIT S 500 00 DESCRIPTION OF OPERATIONS/LOCATIONS/VEI' CLES(AnBch ACORD IOl.Addlt)onsl Remarkt Schedule,Ir roera spaee Is required) :arpentry :yan Campbell elects Coverar. s under this workere compensation policy ,MIFICATE HOLDER CANULLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town of Barnstable ACCORDANCE WITH THE POLICY PROVISIONS. Building Dept 260 Main St AUTHORIZED REPRESENTATIVE Hyannis, MA 02601 W.Scott Kerry ®1988-2010 ACORD CORPORATION. All rights reserved. CORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD nn i aCQs •, CnncrruCri(In SUPirr`,kor _ lSHtlte20ZL@p gyAEis7Btsds#S p�y}[�rztaEio<a License:CS-093716 Z "MM MHWOVEMMCOU CTUR - ` RYA�f CAM`PSEIJ` Ilet2aaRo S DFINNIS MA OUN _ 0 iYY6tAi ggBa __ �t 151 � � e • Expiration J SOUTH Da*.MA.026M -- _> Commissioner CW061201 ua ,. e 4 ieee�e as eegau eaNd for irWvidid�e l L efore to exp, am H fattacl QsEmYm b Sam�Regalaau Office,d AIM-am 19 Paek Pbm-Same 5170 e 4 Sig 7 l — r ' a i r f -was 10 Atlantic Ave. South Yarmouth, MA 02664 ; 774-212-3321 INVOICE LA w�►��-t cc dw� . - rw�►ovt � re -k4 e, r of TME Tars, •• Pv ,� a RARNSMBLE • q�,pT sb q A,O� Town of Barnstable Regulatory Services ' Thomas F.Geiler,Director Building Division Thomas Perry, CBO Building Commissioner 200 Main.Street, Hyannis,MA 02601 www.town.barnstable.ma.us ' Office: 508-862-4038 Fax: 508-790-6230 . Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize r(.✓1 �(�rK�b to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) 7 bo//-3 S• e of Owner Date Print Name if Property Owner is applying for permit,please complete.the Homeowners License Exemption Form on,the reverse side. Q:IWPFILESTORMSIbuilding permit formsTME'SS.doC _ P °FIHETOwti Town of Barnstable ' . Regulatory Services BARNSTABLY4 ' Thomas F. Geiler,Director jDreo 39. a Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.m.a.us Office:. 508-862-403 8 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village , "HOMEOWNER": name home phone# work phone# - CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for.hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is, or is intended to be, a one or two- family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned "homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws, rules and regulations. The undersigned "homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and,requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,M part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. . Ann , •' _ ' o I3m P Gt�� D� Utoc�dP� y�� ,�,o C6La �c �w rS r ay. veae�z,v "z^xx'r°a++ .S Fdt. y x c .arez:* 4� we X s "on.ouch VAUTIN "A , WOOL x } :: E ,:,.« '`d S' •:.$ �� 4� IMP ( S WIN out E um 07 POP 1- loot, A MIT lam � x Was OWNS A $ £, ; IOTA"h Dc K 5@ 8 n 1 4 >w»rGyyy-w, A TM oil 10"Aff of 1 A 112"AA 00 w., l ► �DAT .? Y f $ £ 3 % w We ....., �. A -. .. .. TA v... x x R M AMID A '�P 4 Y Y 3 .:i:. ..�. .,;.. .. WAR l .'. z E y, r � i yyjjsts rayA so AM22HW Q W f 5To iot x ; x k 141 Q NSA To 4 1 ANN s E x > a BU z � a 1.11sm -A ....y>.c.v..n a NOISIAI0 .t' 7]S0'' 31OViS 9 .0 NMOI W -. , Illi. � . o+. _ ..,::: R. :::x .,t ':M, .`. v a .p,. j. ., f :L w ^' 'i ` ?yww�P „ 1 § E .1�1,:A��3�lI,i �.1!,.`;�I.,.,, ., ` 4 ;E{S .i-��,�,,_1"-,i.j j.,�,,�,:!,�4.,��,1-'.::.. a �..-:.;,i1,,�g1:-R'.�1I.I�,v.�,,,,"—,..", -,��_:`��1,.:-,:-��:_,�1�.-,,.�I,I,:I;I-. ,��,,,�I�i.,j-jn�,1:�.�..��o1�1,i�.�;:,"��e.; i.�,�I�,I�1,��,?,,`,,,,�.,I,�",.,�l.,I;I&.I1,��l:_�;.-��, ,.,�I II��,',11 j-.��.;,;:�,"I,.,.�-_1..,1;::...�.:Io., ],,I�.,�"��I,I,-I-j.., �!�1"�1',V"_k_�'��-,,,;,;,..i.�1,�"�,JI�I�-"'t,,,-j;-,*,v.i,z,,�,',-,�j�",,l 1,,�,,,,�,i,%Ii,'C,,,,�1�I,.,",,,I,�Ii,ic,,,..,i t I�I�::�I�.IiI.1'� ,,�:I:,�I,1�,%.�9 f ... a a ,.:,�.:�I.IT",I'N �i. Ra .;%��,l:,z�:.�,.,._�.,,,�..,,,:,_1 :,.:_1�:�.,.,�-.�.,"...�",;,,.,�.�..�:�.,,I:1I.�..,�.�:-,,,,.:-_�,�;;..!:.,��,%�,";.!",.:.:��-:,;'.1,If,_�,.�!:.�I-":,,::,,,,�,1::.:,.!�"e,,�,_,,��,,J_4,_,"�,,',_��,�;_,,:�1�.:!,�,:.��,I:'�,,,1�i,��1,,-��I,iIsI�!I:�".,,],.-1�,,,;��,.,p.I'l:�"�.,��,,,,�,��: ;,!"";�.".i�,-��;,ij.,��:_,:;,;:u:,_,ll,I,...,,,,:�,":."1.:..;,�:,._i�1,.,Ii�:�,i I..,,,�I i,.�.�!..1 I�,�-:�,i.,_,....41��.��I,1.:,:.�:,..,I:,"��,...�I.��.Ip.1�.�,-�Ii_:,,.,I.�,i�.;P.�,'�_.:,�,�1..:i.�,.1�'...,;,-"�,�.:,-:.�,:�,,,I,I,.�:_�.��.,,:o�.�,�"".:��.!�:�:..�..-.,,_,"i:,-��.:tt,�,�..I,11;.��i,�;..,�",.,��1�.,��!.��10'i.,,,,�1�,':.:'.�.,�,�:�.�.�.,-1�i:��,,d 1,,I�,�,I..._:z,.,,-,i�t�,�r,".;.:7,-1,,;..,,,..o,,,.',,,.c�.--,-�-,,1;.,:w'_�.I i:�:,�.��:-I�:1',.I..,:i�_��I,1�.!"�,,-.�.�.:I.!,�:-.<�..::�.:;�1.,.:",qi i,f,,:.�,�:.l.'�..�,".1 ,��..,-...;,_�,,l�": �,I.�.,,,1,.7'��1.,4, ,�.I','I�,.�:1 t.,�_C1�:�,�.,,,`Z11I 1 l�:,I Il"Ii�,,r,,I.,,,,I.,�,,�"711.,-,�,.:,�.�...,;x,1�i�::4.,,I;� -:-��,l_' �.i.�I�.,."I_.�-:..o�,,,��I-, I�-,":,�I_,:�'wI,��...,��1Ii,..�1.i.1..I..,,_.:;:-,,I�ll.I i�,,:,�l�:_.1:.,..1" I:,,;�'',1L_�-,_".I."I-",";I1��,.,,IZ,,.I o,1�,�1 f..,..x._:,,_;,�.I.,1.n��,�,z....,�_,I"I,��.",,.�,I",,',�II1,�_Z�',�.�1��-�e,i�,�;�II�:,�,NI,��.i i,�,�.'Il�I��f��q:i,�_,,�:,:.-.:�I�I�_,.�..,_..:,F"1,Il.L,,��:,1Z., ��R.�I.,j...,'.�,�1:1.",z,.��w��`�:1",,�4-�_i7,:�.,..�"�n.��i.7�,"1;"..1�.,�,�I,,.,��y�,.,;..!:_.,:,��-;:"�.'"jgy��1�I,I 1_�V:,��'I"r,,I i��,,��.,.I1.-,�,.,- ','�.....�',..�.l,,k,��,....��:I.I�..�..,��I-�.�.l�.�,-�,:I,,�,.:.�,�,"6�':_....:: .;::,..I,.I!�I-.�".:.',,w.I.I..I_�:-.-—:,o.,7 ,��...1.,�.._,' ,,!*��..1 i�:..;�.,.I1I.,1i::..,-2,�2,"�,�"�::.,','�.��:�.,_,I�I,'",��,II�.1 1,e:.,ii;I",I�..1I��I,,I:,. N,�,,�.I_l,t�,.1.',,f�lI,�.,1":.,I":,li.,,-��.-.,.�.I'1,,.�:,:;��,I-,.,:I,,._�,iI.,f;�,,1,�.,.,';.I,I.!,."I,.I;I.*:1I";�I.�.-'1,",1,1:,%-I",.�I�"0�...-.�"..-,-I��,I,,�,.:,..I P,I��,�,.��!i�;��_,�:I,!:.,�"�.-.-I.�1�.:1.1�"�:,�;,1.�V,,.,.,�:��..��.I�-..�;��,�,,.,I:".o,,1"`"",,I,,�i1":z.,i,",..�:,�',..��:�.�_,t�1�,�,,.I�;.r,".,..;l",-�"Iz, �!.I.-�,-i,��.II",, .�1::�,l,�,��I'-,_l,,jI"".".:"'I�,._..:��,..-..I-,�.:11,�r'",xI,..-,'.�,_I,�,",.:�.�.�.�,.I.:,;:"I�:��.,��.]I,,qf,.�'��..I:-.1,-"-.1:.I..u.,�,4�:,�.:�,_z..�,,.'.."-,��s",1,..:.I.I.l,.�.I,.1.�I ivj I.�II.:,�,i,.I,,,�"-".,.-�.,I,�'��;.I�,i��1.�I..i..I.,�,,"I�,I.�,.�"3:I.,,..o�,p,,.I��1'I-,�..,':�!ll,i:,1.1'�,:.I�:1II 1��.I1�!,:��...I...�,..I...1 i, 1,:1":,p �,..,[,��.",.,.:�,:I�I-,.i.�,,I,.�.I:I��,�II..I t.iI1,,.,._.,7.I.1,,l,1",.-�1.I,.,,:��,.,.II',,'1..,1,I.I.%_,�-,1,!,I.,I...:,";i.d-:�,I�'-,N �;i",�-,l:�,��.�_�%"::�I�I..�.I�:I.�,-.I"'_1.��;,,'�II.1,�.I:,i,.o.I��t-I,',.-.,..n�,I,,.,',�_�I,-",i,.d:1,i�,.-,.��.:I1.�.�:,��:�,.,��j,2�..,�1,,.;g,�,�1II."-.I I,�!1"��"..i�.-,,"�4�i�:�;z�',,1�:;:I,,�,I,;II Ij�i,,.�;,�,��I Iz,:��Z:,,:,,�I1:,,.�_,,:I,-�4�,�-1,II,:.,,-iI�I�-1I�.,,"�I-,--,I.-I ,'.,.-.F�-��"I',.�I'�_,,�;:i��,,,.i4.1:�:I!1..�P��,.�,,.'.�.,;.,�'�1��'.,,,,.,,-�".,.1 1,'1,�,,.,1�:::�,. ,:,i:."�.�-.�.,,.� i�;.i,-,��1�,;I�- t-...,.I,�I:-�,.:�,,il.;z,,".,1,,_,,,I�.j��.I: ,I�,:.-. �1,,:Y,.�"�-.:.I��,:�,��,,,"�I�,�-��jI,,��,I1�I-.,'.�',,,..I,,,�:.,I�j,.,I,I.'.,.1,"1�,-.:,,f;,,�,�iI,�I,,i.,:::.::�,I:T,14,:��.��,'..1.^ .1;I..,-T.,;.Il��i�,.�'l�"�..:.1��,��:!1,,."i,;:�'.::,�,I,,��,�::,�1-,,V1,-.o.__�,::1;,,;:o�..::::"�e'lI�,�:.!�:i",,1-,,,-.�:l.�.:,I,,",,i,�1i�.I.I�i,.;,��...','.�,II,:1��r1..:;',�,;,�'-.,,�,:—:�I�,'�,_-.�,,,,-��1:,I�,-�,..L..-9,�...I.,"'. -:I,,�1'._,I:,:I,:�-�I�.�x,-,�'',,-I�"i;�!_1..,,;1�,��_I1`!,Io,,''�'l,....��,,,.-,..1.,"��i�,i.,�..:.��,�,.�,.1 1,,.I�,I��,I.l_��,"�li_,�r l,:.c�. ,��I�I,.,:;.�.:.,�1,",.w.�.�,,x.1—4..-.1,:�.-:�,�S..,,,,.,v�,�,;-.:�...:�I:�I I,',�:,.I��-:,:�I,!.�::�..I:-�:.;I:v,_.�:;,��-�%;1.,...,�.,.- �.�1,,�I,,II.:1 I�.l*�,,I�-:�.:,.i"��:,��,..:t".:�,::-i:,�:..�It:,w"�,�-�I:1,,1�'':,',�,�4�.��..z1�".:I i�,��,��,;,:eII�:�`I:�',�,I:-�,��:-,I.-�,.�,��1.,�I�,I1II.,-I.�.,e�,�,,.:,,,I,..,I��.1,I�1�..,!.,1 q;'i;I.,,,I��,1_�.`:!.I 1,I�1,.�-,,�;1:,--"�",:I�1�.,I,,",1;,:-��:....�.,,;...,,,.,,,_.",,1.� ,,I.'I:II l,,,':,�:.��w_,1,.:� i��,�.1,e-.,,�jI�.,:.". ,...;:::,..i I�ir�"!,'e...!2�.�l�.,,,�:.�;�,I l�'�I�.,:1,,.,�: ...��...,i;�-.,IF:,:I.,..'t�:��I�1�,:��:1-,,�.Iw.1.::;.'.,,,�s'1�,..".�7 ,,,l.' �,.v:j.,�-,,:-.,F -I,l..,._,:�:,,!--U��S�iI�� ,�,,e,E��':?�,,._,,,,�`�,,"�'�%-�t�i,,',.,Ici�-1,,�:�.�:-,.:.."�I.I.I."",...iv I,.i'1��,, "�I,I,—��::,!;,,I;"��:: �.:I�:,I_7 r.,,,F--�.��I�,,,Z,,.,I-,I�,:,:,..-_:. :�:��-��;%..;,:'��.,-:.,-,1v_.J`.I.,,.4,II�,.,,��,,_4.:IIr,..Y!�'_I.,I,I;.�.,��,,r,:1;.!;�,I.,.."::V,:"4,;.;I.�,I..1.I, ,�.�,.i.,��:.-1"�-,-,�".`,-"�1.I,�,.,'.,;�.:..,.1I.�l"..,:',..1";l`�,,"�.*�_� 'Il:..,,f..:i:"�....,.,.,.....��,,iz:.1,I_:.",.,"-,,,..-�,,.��"�.��,1��,.,,�I��,��I��,:,i,�";:��,,l-I��,,,�:I,'I:,,..:�,�,�l;.",��""I,:;:�j�I.1...,:,'�,�...��,i�,,,i'1-.,,I.I,.:I�I",�.��,:i:".,.It..�!.-,�c;,�"k 1I�I..�,��,;_l;:�....",. ;..,:.,..,�,.�:�;.l.,..-�.��,4.,.�,I.,1.,-,,;,�"�'�,",.-,,,:z'��,.�1,-7,..,"I�_,�I,1,�-:i7.,,.11,,,.I.,I,i",,-�"I.,",.;,,.:.:.:.:.�,,1:,�;.:"�,:.�-�.'i...�,:.�:I l-�".,,;.�,�,.".:�I-:2 o��1I��rl,,�f.:�,,, �I.,�_I'[-.�.��.�.;,_ ,,�_�,,�I�.1I..,.�,."I��,F,�"I%�.,.�I�:,,.,,,,_��,��.w 1 I,*I.':,,."�,::..-I.,,,-:F..I:.i,�,;.�,":;�'.1.-�.�-,�:.t�.�..,.1,:.,.,��,�_1T, .��,,�,��...-�:.z�:4.,:,,..�:,I1. 1..,I:�.��,4.��i,��!�,,,. ,.,;,;,�I,.'1._.�,,,I.-�.I..,,II,i3 !;_'�.,,.1-,2�;.t�,�l1,,I� �,uli I�:'!�"1��,��4.:;�,4_4�'-.,.�,,,I,�,.."r�i..,�I.,,,,,,,� ,I,,Ie�,..,,�I_,.�.��,,,,,,�I.:I.--1.' �,I.,,I:I:l 41,,,,I,It F..11,i�I t"� ",,I�.�i,"��I,1,,IjIA,"Il�'l :,l.�.,i,i,,,I.�� .',l ",_,J.I�,..:I,,��,h;.,l,��',.�"�,, I!,��.�",.,1I��,,,�.�,".A-.1,.I.,I.-,,i1,::��_�'.,._...'I-*��,i,I,1.,.,I,1"�:R,f:,..l..,,Iw,�.1,I.._,.�'I";�,I�,.I.I.7,,�.,,�.:I.,IeI�� I,:.,I1�',,.1,.5,1 F�,.��1_-.,,:i,.��.,I,,..I��z,�,.,�_,I:t,:;,,.m,o,"..,.;,"II�.;:....�,,�,;I-,,'�S,�1,�: I��i�,In i l,I 1 I,'I.�I�.:.�.."pR, �:,�.,,,,��:,��..,,,.-:1.-,,�:.I,;-�--IIii,,,:,��..,.,..:,`,l�..�:1:",,-,..,.��`_1t..,�� ,,,_�.,,]r-,...'�.�.,,,",,,",�I.:I%,I.,,,.,�..,-��. I,�."I!,-..�,,',.,��I�,.,,��,,,;,�:;..:. ,��...,:..,..?",�',,��-I`.��_,:,��..,,:��"�,;�,.",I�".,.',,�I:�,.,1,:1"",",_,Y�"'.�._, �,��.�,,,_-;: �,::-1-,.,..",�_,_e"1_`1,"��,,,..,d::..,":;.��.�,,,,i�:.I—�I,o:��, ':.!,;I-i..;`��.:.,,,�,1:Z,,�,��.�.v..��,-,,., ,,,.�.�"�.,,,.,,�,-,,, ::.r.,.....:,"��,Ie�A,11.�,..,�.,,1.��,�."�,�.I,,.1.,1."t:[:.�.,1 �r".1�-��,��1 I,._-�-, 1',�.'.:I�i1I��"�_:�:I�:.:,,.-,--,.I"�t,'.,,,II,��.1`II,,,_-"�I:i��.-:,,1-.,-,-1-''1�-,_��.-!,��,b,I�I,,,�-,�,;�..,.",��,�.e,1�`�.�,�zi,I,,,,,"-,�!.::�.�,�...:I 1 1��".1I.:..,";l�: .��1"�I,1 1"�];I.b 1�':,�:,.,,,;'�;I',:&.,;,".:�,.1,,,�.��,�...;4;,I�.-...,-:�.�;I,._.j 1..-.1_.,I1',..1I�,b,,.,�.1�.1.1.I_w��11 �.7.;I.,�.' l:;1.:.,.�:i,...:�-1�I.:_,.�.:*"��I�I�1"�,�:;�1�,,."1� ,.':..'��.I.,:-;I�,,.,,.��,.:I.:.I4'7--,,,��'I;�,.:l,�,.i,...'._�s!!I�.,I..,�-,,��",: ..;1:,;.�i��,.Y-��l�l� ,_,,.I�.��i1If.,�1I"!i",�:I�.I:�_.,�",'J1.,,",,'1�.,��Il",,I.�,''Ii.,�.,�,:�l�,�,:1: ,"�...�I,�.��, ',,'f�.,�_lI:l,.,1, e j� ,.':1;��,,..".II1��I;;,.1,0.1:I.1.I,0.;;��:1 1I.,,II,.4��....II�I:I,.,-�].��,,,"A,AI,.,�I I,��,,Io,.--��.II.,..:�,�-I,�i.,,..��.-AA�-��MI I.��...,,1 1..,"��I.��e�I.��.,-,::.,,.:..,....I1,e I,..,..�.,�.�:�_,-,,..,",.�,. ,,,.I.,_,_.�,7��,�,:L;,;,F: ,,-,,_�",',"1,,.I� �,.,",-,4,,,,_�:..y�51��i,1 1,�,i�,,�I.'��.,I�:,,III,,.�1.lL.,!e.;V.11,,,�. �:i�I,,..I�,;,�Y �,�1 II.L I.,,:I I--,';,,I";,I�,I_: -.-,,;",�4�:�,�.-,:.L:._i"�z_,,_�,ii-.I._�,"i�,....;,�,�I.",,,1� .l,1,''.I.,�_��I;1�,:4:.'--,,I-,.,,,:i��1.,":,.%.��:��."-JzFI��,,-.-"�II,�,-!e..'J,�� ,�1_�I��,v, ,,I-�11'1�'.11, ':-:��.I-;,.:i,1,�� .',,Ii:,:,.�.IIII_.::.::,I�,11�iI I I } t £. ,�II-�1�,-.I:j,I,1,.�.�1�.,� ,1�I,,i,I�I,.. ,i,I,;:�,'l,;I., �I1'".j.,,:Ii Ii�,�I..II_�'��,:�-�.�I"- l-.L6�1 I.I..�,,,.II, ..-,:.�.. .�4,,I�.-I,,..,,".�,:I�..I.�,,.I-,1,_: .,:I,-.%��:,�,..,12�_\4.1"II1I�.�I,":.'w ,��I-�,I_I,I�r1��,.i�I_1.-.I, 1"�.: I,�I'jLI ,_,,.,i.:.,I 1..,�1,I m�� ,1-..:.11.��.I i%I�,I,��...,I,�1�-��,I.—:,. ��I II I..I,�.1,I.'I. ,�:.I...:�1.� I.I I�_.AI,.-I.�-"�.�d,!.I��..'f.I 1Iif�.::"�"��i�iN�,��4T II��,i�,�IwI,�:,.�;:.. �:�"1.. -I I'I,,,'.�-- ,�1I�.,,�I%.,,;1- -' ,; <. .. R. „.1 a # .., •£ y �. , ' 111 I ,!.:..,11. h ,.� , - �i��,.?,; R,� '��Q ... I . ,.:F�i.I ", I" � ,. . �I�.,I.I�.1,I,�..��,-I.I I:1I.�.F�4I.l-:I,._��I,II,*1!,��I I I I I�I I�,I,I..,i�'I...I,..::�I-�4:;I.:,�.I:.,�I I�.__:I,�.,��,,.-,,-I,-I..I,.1;'....,.I,,.,e."-.II,_--..��1".,�,�I..,I�,-�,,..II�I t.�-I�-I,�,lI%;�I I..,-I�:�',,,,I�-.��'l�-,.�,,�.._-,.I,,,I,1--�,,:.,,-J..t�.,,��,-1.,:,.,�,"�x,--�,.:�I,,r�.[I.,:Il:,I�,��,,.-,,,-1;:,:,�,iiI.,:�,.-I;i�,,._l,",:I-,.,�.:.,-�,."n,:.�.:�.'l%�,�I,1:-1,I�l.1...,!,n.,,��I.,.��::,:'�,I�.,,�.l1�.,,c,t,..1.1�:�l,,��..��-�:�I:,.,-,,:*l::t,'..:��'..1�i�:��:�,"�i:�,.�'��,.::...._1,,,:—�I.,��..:I�,.��..,;:�-1�''"::,-:..':�.I:,-:;,.I,�:,,,.l�.�.��,:�:..:,�.,,.,.�:.-,..1,��I,1.,.��i�ii.,:;_I I:�.,,,:.4,.�.,��",..I.,-�.,�,,';::_,�.�;",,.1:..�.,�,,,�.:v:�".],:L��:.��:,%*.i.��.�.::�"�",!:i-:',,1-;..I-.�_.��.,,:�.-I�7,,'k.,:.;Z�''J-�i..:,�:,,�.1--.�.�I,�,,,,,��,f��,:!,.�.`i"��I!��;:;1.,I;��:,.,.;.�-�.�-i:��;._�,.:,�i,�,I`:�1;,1,,;Irl,!v�1�::',,,,.:;��-l�,,;,,,kI,��",.".::;��1'�.,:�7,""."ji��-��,i:,1��,4:z,,,��P��I?—I::i",1,�.:",:ll,,,,-i��"�'j.ji."�iV,��-,:e%i',,;.I"i.�,,1ii,�-,':-,:�l�....�,.'.�-�i�l;Mji'�I:::,�-0,..I:,,':,p.:.j,l,�Ii..��`,j-"::�r ,.�'_I,.!��I—,,.*,� ' I; "I I 1,.I,...1�.I,I,I_ ...l_-��1..I,,�,.�.I�,,.:,,I�.�.�:.,,.,..' .,gyp - ,£A.: , 7w .,,..,:,:.��:,II..,�..�: 1,,:;�,,L,,:�,,,,' ,,,"1�11�..:i,,�i":�,�,::1: ,,.:,l:,.:.,�l:..I..,,II�zi.�":,,,:'�:,,,1 I;t:,:,11�!:��:;;�...��1,'t I�I'.,w,:�,,.:I".�,�-.l1`-,�,l,�._.I:.�-.�;.�—1.:�,�....,II,.��I:�,,1I I--.,-1I i...:;:I%��.��,.D"�,,-I;,-��l,1:...,!",:,.I I,,��,,.�,.,.I�,��., ,","f.iII,I", ,.�,,; ,: .. r».,;, ,E .,...11.'.,",I:I.,..l .,I� -"",..�1.,,. .:".:�-.I:I,I.;'�:,,-I�,,r�.,.I�,",.:.I1;:;,,,I,�,. i.,,I.�",.:�,.:�_ I I` ,.,,i Iv�...I.:: ,i-. ��,1,;.,,f,I�-�I ��_`>:I" ,.1,,.-I..,,- .,�i,":.,:I 1?t 3 I,. :.._�: �,I ,- �Ii;�I�11��,.,. ,!- } 9 5 gi � I�,I:�i�J.��:1,"1�I,�;.III. 4"fr-�1�.I':�I�I,�,��.��..-_I.4 iI2�-,":�,:_��. ,.:" �iI."z;1 I�,,��1�i,.:.:�_:i��I,..I-..:I-,,1_��,I1,.;.�,;Iol'.;�..I,.::t_,�I�-�,,I,:,.,,I.',!%!::;��,l 1:1'�.,,.,,��,_;�,l.;i��,1',l T,",:E�I.�..;4.;;;l:�':'!.;,,i,��,.l.l:I�,:��.�-.��.,z,,,.�i..,,',��':l,i,;,,r,I��",,_:�..,I;!��..,l�-,1.�:,p:,.��,�-;,,,I�''�,,..�I I,�,"1:_.I..,,`.,,�":,,;::.%1i��;�III I�.F�,�,�:�1,.�;��;:1_.1.�I�,.�..,'�.1..N�.,".,,,,�1"..;1�;�,I,��;I%,1�,"I��,,��.1"":..:�;�',�_,,,l..,l,,;��1,:'.%:,�,,`',�1"��...-I,�.,�I,!.I�:,.'I��i-i�_:,��,i,I".,,_��.,,�,j-,,,..-..I��,,"1." ,�,�e:I1;,.,<.�,;�:,,.,,,tL�%II�eII-',i,...%�,:'",`.b�ii:��;`,,1.:�.�,��:.,�:'��,,,',,.:-'".!,...�'�:v'_.��.,1�.i-,,�,:,,"�I,�I�-_�,,�.:,":",,��"A-'�,,��;�:.I,,;,i��.��.]'!",::��,,,:`:i.I'.I"�;",.:.,%:,!.�l,-I.��',..i.j,�"I�-r��I:,�1",-.1,.AII;I 1�"-.1I,!I I.,;�,�,�T.�:'..:�,.��.:"!,i:�I,:-,1",,,.,1-;:�-1z1.:.1","1�1 ttttt�"I:,,-o:.��,i�,' :,.�:�',..: ,,;�1:.1:,,";,1I:1 i�1,�.,�t1,1�i,iI:�,I'.7:�,�!-1 i��,.."I,,�,:'I I�'r 1,11.I I,A�,,-,�77:1.1,�,��:d1::i�",.I;,1..I,,.-�''1I!:,�:,�...�.�,',I�,%�`,,.�.,�.,,,.�z,,.1-_:"l,!;.,-:�-��,�:I�l I,.:�I.��:�,,-_.�-,�:,..,.:.I1.�,�,�:I;_,.�..,1.1,,.,:�,�.,1,,',.i�"� ,,,0�..�.i £ -j '-,.,�,�-,_ I_..��I:�,I�,;:I.I��1I., :.,I�..M: �;�-_7:,1�.��.Vi;",;l ,,-,q"i'I_�II:l I.1'.- ,:I.,,.,I l:., ,�,�.l�.-._2�,1 .�� I:I.�,.I.,�:1_,.:� ,-1,4� -I.:.:�f�!._/, .,��..,,,vI",!:,.,".�. I�,,r 1:,�,,1;�- �:j;,�I.,1�,�,..I�:I I,�.�f,.,.� ,�i,�,,�i,,,.,I �:�I;.I �I�.,:��q�..'"��I,I,,.,� .I�-"..,�,,1.�,,.,�1.,,,,- .,.-.,1,., ,. -,., I�"�:� ..��I:f,1.,-,,I, _..,I..1. .', ,I 1 11�I,".,�.II:.., :-I.,,n�,".,,.�1I",�I..�.I,�. 1.,�.� .,�...,I- I,I.. C i. w t e 1 , ... ".::,I�..i,��,4 1C;�I I 1,,,,� I...�,I,,..,—:�.- -...",1,,�I.�.,.,1 I�.....II: �..._1.',I,,.:I".,",. I �,�.��I,,.�J.3I..1 ,,I : �,I,A �II,,.I, „„ Lt 9. �o 2' 4. d Jam, I� 1.�.qI ,..,�..-.I,.II- v 6 .I ;..V_1.. ,,I I v r a, .. ;.o. .:..... .�,1-I� .: ... ,I ��'I, I I'�:I�I 1 _.��:.I�, .. I..,.�',...I .-1I I.I-I��%�'I� "I1�. .-I.. �I:' .I:.I II;,..I�:,�.�: N1 a: II.,..� t - �r- II..;I,,4 ,�,A�..,1t, �:�,�.�.;�-,;,,.,.�1I...,1.:,�.c.1�_�::,.',,:-".I�-.,,,,'.�.I,.,...,,,�.:"�.,�":�,��.I,,,:I�_,-�.I.�,-;.�,��i,i.:I,�,I,:,-,i,_4.;�;,,;1:�_,,,l.,:,.:��...::�'�,��:,l��.,'.��ui.I].7�1�iz��.",,�,.��1�.,.,,-�Iv��`,i'1 I,.p�,�i,i�,,I,i.:,0,i1-,��,�,'_,.��.��I:[P,:_��,-.,.,��-�,.��V,,1�:,.-�,,W,I,,,,�,�,.:,�.;�!!,��-'.�.,".,,.,"��.�..�"IIIIIF,.:�,,:.::ii1�w�.�i."i,..I�.,I,��"_�A-�..::I":,_.:�.:.'IIIII,;.t,':;��i 1;�-':.�::,,.,�",.4 I��I I":� ,,.:��-�;1:.,,,,",,'�,,,"�,i:-,.1 .�,-,z%�,,",�x r,_I::,i�.�...�.:,,If�,�,'",�!.,,_:,1-�IF-',_1":��I1-.�,`1.;.l.�:".i!'I�Ii��,",,,i��,�:-,:fI�4�Pl�I,i,�,I'�,�.,I.I.*,..��,.:�r .,-�',,!��I,��'�,',;,�,�.�.,�,::1;:��,,l��'I�iiiiii F;:��:,"��.,,,,,,,.L.i..;.1.?,�-,,i,,',"�,:,.,".1I,��,�.:',,,,.�'�!I,�e!--..:��;..;,�;1:,:,:..��j.:''-.�:,"_,"l"�:",':i,.��.i"i"-..�� ."1�.�1�,,,':—�,I,:.1'i11�.,i:;,i;��z.�.,.-�,;I ,i,�,1��,.,.��,,,-,�e i��, �::I 1.�,;�1�",l�:'::.��.�.:,'l."w,,,,,�";I l. ,,,�II i�:1�.�,1,,,i11",fII,i..�,':�I:jN: IIII�,.II I...;-,,I.�.I.1� .� .: I�l�,:, :.1;:.:.� ',�I1- 11, ,I "1,�I",-,�: ,I.._�I. ...:. 1 I. �,I > ` .i , s £ € 1,�. ., 1. .. � . r s 5 .. .,,- ,%-,�_�',�.,.:IF�1�,1�,,�i,il�,,��.1_"i`ii...,.,l,��15 I,:,i��,�.I 1'�.IZ,iI.�,�I,,'�,...",;:-u I,r 1:,I,,I-:..i,..',,.,�,.-��,�if.�,,1`,l,I�!".�,�.�..ix1�1,,�1,;,1��I,l1.N.��,,I-Iv1....,." "�,,:l,..�..�,;.1L�-I..-I.t,,�17�I1!I.�_�.S�.'.:�,.d_,.`',."! �iI iI I..'.l-��.Id1 i�.,.I::�I._'.,1..I"::i..:,.,..�:.I,.i,,,1I�"7.,.,�,z��,�!�,,-":i'�i.l�,��l.,�.;I�:.I1_,II.'..�,:,".,1.I,�.�-��.,.,-I,�-.,,�1 I�,,.,I.�,-;.I�;-��,.I1,,.�:.I..�I'�,7,":.,..,�:�...-.;:el 11I�"I�,,:'.-,,�,.,F_�,�i"�l,,;j.;,.-.;:,.",1-,.�,�,.�_.,".'1,I.ii,�II-iiA",,,��,�1�".::-:,;II,,�1��'.�.�,,!,1"�,1:�.,�_�,_-.,",�;�-�1:,:,�;i,.�,,.�.,.-%,.;�4,,I�,,.,,,:.,,",.6,�r.!,.j.i,,,I,,.�,:�.II;�,I,...,�:.��::I,`:'��-:�.�,��._,��".I 1:�i",::II�-�1,�,1��z,,1,,,::,.�:iI�:,�-�1:.,,1��,.��,;,-;i�"--;1,.1.,,�,,1.,��,n:�,',,.I.�_.,:�2�;iiI,.1"I-'1�;,T......,�..:,,...1,'I I, < (t ^ "' , ,;#.�l,._,-�A.�;I,�,'�".��"7.�.I:,-,:'.7�,,,-�N:�,:l:�.�.:.�,'��_,,�,';,1�:.:"�:,"'_I1 I".,��,,,,��,,,,�..1I.�,:-1.'�,.-,!l I.!�_I�.,I�-1,;1-.!,r�-�..a ,��i,_��I!..:...,:._�!,��;�,.,:�,.�1,Ii.:.".�l,,,`�_'.,,.�.�i:.::,.!,,.-�,,;,;;-:"!1_.,�i��: .,�;;:.,��,-.i.i.�!I.��,�,,,,,,:,�,f.I:.,:,�.��,:i'l.,i�,.��,i,-,�,,!��c;�_.:�,.,.1�:�.. ,I1 I��,..��,�...�..1:-,,1"�..I��.:,.,,::I-�_�_::�.,:.�,1��;,--.:�F�-",,:'.,�._.'-�;,��,�,,�,-.,�,;f__��.,.,�I1 I,,I i�;z-:�N,1'.�;�1:J�1��,,��1-.I:,x�',.�;:I1:.I,��I'��.1'I�,.,�:: i'��W��".�1.,,`:Ii,:..,I,-;,.��:..�`1:X�:,,I�.I._:lI..,1,,.,t-.7I.T�.�.`i�.:,.,..��p.,��.",,`,I.�i.�i�,.,Ie�.k":I:�1��.,'.IIl1��:.�I�,",i,,�X..�I,1��,,1,,r:-j�:i;�;,�,,�,,,tII,i�.�.�::.� .,:�.,O�,"i I,l:�,.�iI,"::.!,��,.i,,.,:�I;..I.-,�J"!.,,',1.��.�,,,Z.i:I'41�:,I�,:��.�...-,i.��;..,4�-:e�',�i.::"I;i:!.,lk,.i,,��1?i�,;��,,�,�,�I,I,�'��,-,��,�,��1..1_,�,,,,I�.l-.,,,i,:".i,,:,.�!,,-:�1.3_;:;��,��i",��A,l_,��.:i.:l".:,,,��1��,..��,.!,,,_.'.I�,�_"�.%_,,,��:1�.,,�,i�,�'....I��2,-'�.I,,� .1 n.,�t,�,,,>�"�",.:,.-,�.�:�,, ,,;1 l._,,�'.r::I,i,:,T.�:'..,��.�!.",.i,..I":,,.,,'.,.1,l,II��,"i�l,,��I,'1-,'..l l�..,�.I l,�,i i,.,�,I,,.:1r:l::..I��,,�'"l;",.lI.�,i1.�,,,,�,1�._-�,I,.�-�Z.1".,--%,;-'1.��1_,,;.;-_i l�I F.,.',.-.jl I,.,II�,IN1,:-1�,,-j�,I,� 1.(_,��-- .;,..,..::��l,��,.1;�..�.1,.,"-,..,1�_..:.��,..�'.�.":�,,�,I'�,�"�.,.-",,,�W.:"�_.,1�..",..�,w�,:1",�1�.�""i,�:.:.: �,`,�:I,g9"1,1`I'_�m�`i��,,�.I',,,�:..�,. .:,.I;.�I.�,"��!1.,,,' II,�;_,, t.:,.�'i,;I-,,�Y��1,,i:�,,L�,%,�,I�,��.,.,.'1�i:�,-,I:�_I h ,.. g:i'.,I��;%,�?�:I,.,11.,I.��1t�,,I:,�.i,:,��::!�II�m,p.:I,,r:�,..�:�,,_,."�,,_i,�,�1,:..-1�,�,�,�:�_'N�,'':�,1I,;::1��.��I I�,.:I,.,;_',��:,I,,�.�,-�",��,..,-.,_�",��"_,..;-.�1-:�'-,'.i.',!i`,I�i:,,��,.,:,l;:-_-I�,,I,�'�!:,.I�11,7,.-1 I.1,�i-,,,��",:,-1`..�"��",,,-;,�1:".,.i:..�1_.'�,�.,-',,�I�I,1�,.�:,.� II:I�.i I.�,�,,1,,_,,�x.,"V'.�:,;I,I.,_i_�,"i�I',::�,I,_,,,_�t,�I 4,�.,.:�,t—��,,.,�I-,�",':,�.,,�,�;;�.'k,,��.,-��1,...I�,,�::,�� Z i :x .. -.:�;_I,_:,-��"-.,,.::.k7.,I;�.,-�,l-�,�..��.�":I._,.:-;If.�..1,,�,',..�;'..;1��-J':,l�:-I��I"�i;,j,,,:�.1,,i"1,,�,S,:,,?-..,1�"�:.,;—..7;w�i��.:1.i�.I�'�,,,,,-.,�,l,�.,q,-;,.i,:.,.:i,,-�,II,,z_:",.-f.'.��.I I:;i I-��'1.,;.�;j;;.,,.I,,I"-'.�,1:,:.I,-:..1I�'..!,".,_.,,�I,:�,,I��l::.I:�.,.;1;.":;,I11"I::.,�.�..,..j._-I;-.�_:�w.,W,1.:i�.�.l:1 i,-,��,�',,..iI,,,:.,�I�,:,,_i I?�_,�,�I,.:,:,,,,:,;1'�,:"�I�."�:,]��._,.,,�;,,�"_�...',�.�.,�,.,.,;�".I,...,�1,'",:-�'I1.:�I..��I41-,.I.��",.,:,.;.-�.,,I:..�,:.,�,�,,�,.,1,,�,,,,,��"�,,',I�.-,-�2.i�,,.f,v`Vi11,�:?,",",�,"I.,"�.;�:"�'.,,..",,.,,.�,I,l�..k�,I'...,��I 1,".��z'.�",,,,_2-..i,:,,",.,.i.1.",_,v"',—I,,:"��,,,.i,,;,,_;I�.-,,��,��1,,., Y ws ... .a : ,..a:.. :.:.�� + ._. .. . `I .. -< 7-77 .. ...,n. .:.: r. -- r T)e-yw\\s Ker kcA e tgI14 Town of Barnstable �F'THE tp�y Regulatory ServicesC P� ti Thomas F. Geiler,Director Public Health Division * BARNSTABLE, * Thomas McKean,Director y MASS. 200 Main Street, Hyannis,MA 02601 ArfD MA'S a Phone: 508-862-4644 Email: healthQtown.bamstable.ma.us Fax: 508-790-6304 Office Hours: M-F 8:00—4:30 November 7, 2006 Attorney Albert E. Grady 226 Montello Street Brockton,MA 02401__ RE: 16 Kings Way,Hyannis,MA 02601 Dear Mr. Grady: On October 24, 2006,Lt. Don Chase,Jr. from the Hyannis Fire Department,Town of Barnstable Building Inspector,Paul Roma, and the Town of Barnstable Hazardous Materials Specialist conducted an inspection of a home, owned by you,located at 16 Kings Way,Hyannis,MA. Lt. Chase notified me of a potential oil tank release or spill located in the basement of the above address. The tank,used to store heating oil, was closely inspected. The underside of the oil tank was rusted and had begun to leak oil thru a small hole. Photographs were taken of the tank and are on file in the Health Division. At this time,you are being ordered to have the contents of the tank pumped out and have the tank replaced by a professional service company. Prior to the tank removal, a permit must be granted by the Fire Department to remove the tank under the provisions of the MGL C. 148. Please refer to Code: 326-21 Tank Removal(A). Upon completion of the removal, it is necessary to provide the Health Division with a copy of the receipt for delivery of said tank to the site designated on the permit. Enclosed are copies of the Town of Barnstable Codes Chapter 108: Hazardous Materials and Chapter 326: Fuel and Chemical Storage Tanks for you to review. If you have any questions about the orders or you need further information, guidance or assistance,please do not hesitate to contact the Public Health Division. IV S*ncerely, A isha L. Parker Hazardous Materials Specialist All orders to correct violations of Chapter 108 of the Town of Barnstable Ordinance: Hazardous Materials shall be completed upon receipt of this letter. as A. McKean,RS, CHO Director of Public Health Enc. Chapter 108: Hazardous Materials (copy) Chapter 326: Fuel and Chemical Storage Tanks (copy) cc: Lt. Don Chase,Hyannis Fire Department(cover letter only) Paul Roma,Town of Barnstable Building Department(cover letter only) r a, ' S t' t .r • N � :• �.�` .� �,, ..,sue... --t` a ` ; `v xFy a f`j �• ; r jj r. � � � ,�>! �`�' Si c'y � 1 vet�i1�f -"- ,• t1 S{ '�*' - tJ`t'.�.T� � Ex.;��3x '�t� S ��1 {��'�•i '�,y�'I iy3�i`'` �e*�,� j � �r"'.. 014 R '�[j.8;C �. ={S :� ;_�1:• s:. �Srui.. �' ��!��T. .�' icy l` � n ��*�, �- t' �"s;yy+ ;il,i•, �•, ��t s..} ,,��R ` `T'..` 'Y- LS, ��yAC+, .. r`{i ,erg' pr► ��."�'�+` t.�• .� � f 1 f T trrt G � � 1 i `r L�� .1'� s' "'" -• a ~�? Y o aA 1. - rj � r C I y o. ��•- s� I „ a ciw - L. :,•a m T s , r - J `�4� t 11 � if. ,�♦ 9 t ��of t� Ma Rio cu T L ! .•z s s � 'I It . r �� +'Sy r ... .'jib .!� 3 •:.R } , *, } r ., #� f � . � �N. � ,.� r:�` _ ::: ,. �. � . - . ► .:s �: � b �� .r. � ,.� �..r.� �y t n"` c l# . ` _ �� :�� f� .. .-err�� .4 4 •� - t` ,� ._,. �" . �; i� t � ►" __ - � ' .{' � _, .i F,y � . i�� '�.� �� r .: ,,; �< ..�; .. « �i' ' �. a 3� �..�.! Tr �� W�� '',T 4.f; .. ;. ... . �., �`:, K� t> '.a..is� Y , I f ti r ran All, ui 3b' T C I � J t t k�s i J va c � � may.. - �.+�+n+,i �i!1.+i�.',.\�� •a( 7`Tin•`t..t �y • 4 ":�t 'L'' t. � � 4 1;.. ,t„(iy+ r�'t (� �fir'\ � {y I • � p�#�� • - • I 1 r Z1V[y1 Q � i I T -• h ^ ie • i. fi 1� i 1 i _._.- s �� s f • �t �O i N f - r C (6 C f�. �,�a#2 �x(� r ��' i� f �+w�:�- '$s :x�' �' � Ali �"� �'"� r ,Z+} �� %#� ,�$fi k _ ' r .� � � 1 y iYy'. r r ��:;: �; .. �� ,,.�N �, c � ' .� � �� I �.] , ��. - t a - .,.,,) o � n � 'a « v �_ . c o� 4 0 � >{ ��. dO'�� M ';•�S?,A a �a ,O � _�.TG`�'t� i�{ `x- � ram,,, r$Y .�" Y � c �g�i� 7 f '�}` >� � - , � � � _, �� _..� �� 3k1 �• � /'� � e �. k� ��,< .s - � ' a�, e Y { �� - �� `' .�. . . ,�� .; � �, E „�. . ,�;t � � ,�� + � ,�*� r;' t �" >� �. .� "� -. >�� .t § d � � �X i s s R • ��..+.•,tom i. .�-i...-. 't I .v. r I+ ";.pn '�,;'„^�"T�' .".�""+.r�'� .� - '-�"a �"r4 ,g c x��-w•+a#F,�'b"�' L '�` '�� a. g '�j- 77 mom Olt -...<W14"�f."' r X w•+ ` rl�'o' C: �_ � ,fir�� _��,y'S �.Y 4 rc. f�qy,�•�.»�* � �• ��• n � . ki w '� sT� .ate 'r ,r y �r A...; -.'+ a7"• I `�.' �� /�I � -� � r�""�•��►':1 r },rat.X 4� � � ,4 •,� �x � ° � w 4+ .� y� c� .i as �. �ii•K. ,:�i�rr� -�'`s � ,�+� '�4 a 6u q ¢' �s tk t w . �"... i , °�s +tom i i `.a sr 1 r n �i i x � r V�r d' m . Fv c 00 0 v i nCIO CP Q ems' - n 1Ir, TMt �anwc a,.M t x,�''e '"+ v ''s~"" cn _.•ra^+4 "�'sa-..T ' , y,, - p:•' �z"v*"$` ��' � -^±�r�' '• 3 s 'f:�.t�'� >.��"�„{`�°v� xr 9�Y� �.r '�- �., -„� j cr— � � cseT " �_s'n. i. ys R, `°r".,�.ece r•�aaw §"°� x,�°i_�Y 5;' tw ,` r r ` F • • 16 Kings Way, Hyanni 10-24a ,s e ,qp �f Y1 t R � 8 6 } >n ._. .� � e•p s= j i �;� d 1 R zs . 4 x �ry i fr {Y �r - 4 t �,'..r .'..r'iy+a:•- aY y..h r.,}Fi � .g e�.� P"r`'� ' d i- �tl *kc � ry'V '7 Tt Rp e • • r a� 7i ,prep i'ti.Y��'e � _ `•fir.-A � �w �; ��* Y�$.p •Sr ��f y".O ' Lt, i r. r AN - - i � �` -�,-. .�.,•. Fir`,� ,� fi�- '�.--s 71 `.r v INI ( 0 tt CIV 40 ie T y • - g �� ti ,u -•,.. f F R " ti r •t�� fi. k s r Assessor's offioe (1st floor): I E ,,Assessor's map and lot number Board of Health (3rd floor): a-0, Sewage Permit number ... .............................. STAM. Engineering Department (3rd floor): 3 9. I ... YpYHouse number .... ........................4.L..&........... ............ APPLICATIONS PROCESSED 8:30-9:30 A.M, and 1:00-2:00 P.M. only TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO .... ... . ...... th.... .............. TYPE OF CONSTRUCTION ........ .................................................................................. ............. ..................................19... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ....1.(".;7.... ................................................................ ......................................... ProposedUse ..... ..........................................................................................................I............................................ ZoningDistrict ........................................................................Fire District .............................................................................. V Name of Owner ....... Address ...................... .......... Name of Builder ................Address .2.X) 4� Nameof Architect ................. .....................................................Address ............................................................................... Number of Rooms .......... ........Foundation .... -4.......................................... Exlerior .... PK..1�0.0d...........................................Roofing ........... Floors ............k................... ........ Interior ..\..�P.�...le.t6ve ..................................... ............... • Heating ..... /ro/`......................................................Plumbing ............................................................ ........... Fireplace ..... ... ......................................................................Approximate Cost ........ ......................... ...................... 'Definitive Plan Approved by Planning Board --------------------------------19-------- - Area ............... .. . ... . ......... ,.;P 0 C) Diagram of Lot and Building with Dimensions Fee ...............16 ..................... SUBJECT TO APPROVAL OF BOARD OF HEALTH OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations -of the Town of Barns-table regarding the above construction. 4 Name ......................... ........................................... 7 Construction Supervisor's License ...... GRADY, ALBERT A=328-009 No ...31599 Permit for Change Roof/I.nstall Windows Commercial/ Office ~ ........................................................................... Location .J.§.J ings Way............................... .................Hyanni s........................................... Owner ....Albert Grady.............................. Type of Construction Frame . ............................... .................:............................................................. Plot ............................ Lot ................................ February 10, 88 Permit Granted ........................................19 Date of Inspection ....................................19 Date Completed ......................................19 Assessor's offioe (1st floor): SEPTIC SYSM OUST Sid F'THEt Assessor's map and lot number IN COMPLIr-.MCE WP o Board of Health (3rd floor): TH TITLE 5 d Sewage Permit number ... P....Y. -4:�>........................"te i"i'ME TAL CODE A,,? �BASO"M LL, Engineering Department (3rd floor): ti House number /k...... ..�� . ',r� �� REGULATIONS . �e�pva`e ........................... ... ...... . APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00„P.M. only TOWN �OF BARNSTABLE BUILDING INSPECTOR ; ff�� ;,,do � /.0 p�j y APPLICATION FOR PERMIT TO ....�.-.....�.L. .�i.....rl�(d/:.....�P.:�.......,f...�/.t��l.....✓.��.....`../,C!O/.L�/J......... TYPE OF CONSTRUCTION ........fIVD.G0IJi....,z- ..................................................................................... •........1.. •...r........................19..r TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ....{ r ........................................................................................................... ... /. ...........�1. .: .�.. ..f ProposedUse .....0/re/00C.�..................................................................................................................................................... ZoningDistrict ..........................................................................Fire District ................................................................................. Name of Owner .. �/..�. !, ....... I:.......................Address ..c .(J..�� ....�1..:... / �s!d ....... Name of Builder P/1!��(. ...,/%1. • /�/�................Address .�lJ••�... [l .�it f ......`�/...:.... C% � '1(4:...... IName of Architect ......................:...........................................Address ..................................................................................... Number of Rooms ......... ......... /Cta ........Foundation ....C.�f,�l�. i. .. ........................................... / , � r� Exterior ......� . ........° .. �� ..........................................Roofing ... .. ,J / ........................................................... Floors ............p2......................................................................Interior .�J. •..c�.(:/.. (? /„✓..,................................................... Heating ..... r........................................................Plumbin Fireplace ...../..........................................................................Approximate Cost .......4 ;1..40 Definitive Plan Approved by Planning Board _______________________________19_______ . Area .....A.1! .......... .... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ... .... .. ..................... f7 Construction Supervisor's License � L/... 7....... GRADY, ALBERT No .3qA9L. Permit for ChangeRoof/.Install Windows ............. ... Commercial/ Office .......................................................................... KingsLocation ......16 nqs Way...... ........I..................�:..................... Hyannis............................ ............ Owner ..........Alber y ............. r a......q ........................ Type of Construction ........F....rame .............................. ...........:��....................................... ................ ........ Plot ............................ Lot ................................ Permit Granted .......February 88 Date of Inspection ...................................:19 Pate Completed ................Zn/................19J 0 (r TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map �3a Parcel q Application# 00 Health Division Conservation Division Permit# Tax Collector Date Issued o2. VA Treasurer l Application Fee -� _Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic-OKH r1 e ion yann Project Street Address 1 6—Kings Way Village Hyannis Owner Interstate Services Corp. Address 226 Mon teI 1 n gt- Rracktan, MA C/o Albeit E. Grady Telephone (508) 583-8562 0230 Permit Request_Re-en=eree e-mistiT9--60" cinder bleelt all in the basemen-ef 16 Kings Way, Hyannis. Square feet: 1 st floor:existing proposed 2nd floor:existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Tn_`O Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. G Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) ? Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes ❑No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full:existing new Half:existing new O Number of Bedrooms: existing new Total Room Count(not including baths):existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing '❑new size Qz Attached garage:❑existing ❑new size Shed:h existing ❑new size Other: ran Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ c Commercial ❑Yes. ❑No If yes,.site plan review# Current Use Proposed Use BUILDER INFORMATION co r- Name MS (Cpsis-uc�-Iae\ Telephone Number 5M_&f0/C6S Address Scx License# OKMA-K� Mk� Home Improvement Contractor# I � Worker's Compensation# t> YIT' 5?� _0� ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SR'T Rkdc:. SIGNATURE DATE _ We, / F FOR OFFICIAL USE ONLY PBRMIT NO. DATE ISSUED i MAP/PARCEL NO. ~ ADDRESS. VILLAGE OWNER DATE OF INSPECTION: FOUNDATION 0�C P —O '-7 PfL— 'I FRAME r INSULATION i i FIREPLACE � r 2 ELECTRICAL: ROUGH FINAL r , PLUMBING: ROUGH FINAL a GAS: ROUGH FINAL }� FINAL BUILDING s ' DATE CLOSED OUT ASSOCIATION PLAN NO. r 5N The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street \\ll� %` Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Llectricians/Plumbers Applicant Information Please Print LeZibly, ; Name (Business/Organization/Individual): Address: �� K l3 f d I City/State/Zip: fHK-OM3 Phone,#: heck the appropriate boz: Are ou an employer?C e T e ofproject re aired YYP ( q o) I am a employer with 4. ❑ I am a general contractor and I 1.❑ w construction 6. ❑New tion erp oyees(full and/or part-time).* have hired the-sub-contractors 2. am a sole proprietor or partner- listed on the attached sheet. $ 7• []Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition workingfor me in an capacity. workers' comp.insurance. Y P h'• 9. ❑Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its `�- officers have exercised their 10.❑Electrical repairs or additions required.] of 3.❑ I am a homeowner'doing'all work right of exemption per MGL 11.❑Plumbing repairs or additions . myself. [No workers' comp. c. 152, §1(4),and we have no 12.❑Roof repairs insurance required.]t employees. [No workers' comp.insurance required.] 13.❑ Other 'Any applicant that checks box#1 must also fill out the section below-showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: /Jl4Vp i'i ��AIUL _ Policy#or Self-ins.Lic.#; -"� S� o3.a-'Q(o Expiration Date: QAa9/v'F7 Job Site Address: t Kl! Wk City/State/Zip: �J y1 o niS. , Attach a copy of the workers compen tion policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify upider the ' s and ies of perjury that the information provided above is true and correct Signature: Date: I6 Phone#: O f ( — cf,6— 06 Official use only. Do not write in this area,.to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions NN Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual.,partnership, association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance, If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department.of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture ,(i.e. a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MIA.02111 Tel. # f 17-727-490Q ext 406 or 1-8.77-MASSAFE Fax##617-727-7749 Revised 5-26-05 www.mass.govfdia of� r Town of Barnstable ti Regulatory Services • BARNSTABLE • g, Thomas F. Geiler,Director fn Wiz+° Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, Mberk r`?ceStQ(e4 , as Owner of the subject property 01 hereby authorize 'C'4n` ( gSCxcuchun�� on� behalf, in all matters relative to work authorized by this building permit application for: (O Klms Din st Rddreg of Job f 11 /03/06 o , Si afore o caner Date Interstate Services -Corp.- by: Albert E. Grady, Pres. Print Name Q:FORM&OWNERPERMISSION f Town of Barnstable Regulatory Services a 2,1"STABM ' Thomas F.Geiler,Director ,y 'MASS. a639: ,•� Building Division g Tom.Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us )ffice: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PE RMIT APPLICATION MGL c. 142A requires that the"reconstruction, alterations,renovation,repair,modernization, conversion, improvement,removal, demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units.or to structures which are adjacent to such residence or building be done by registered contractors,with ce_ ;-n exceptions,a1mg-)r3th 9,per requirements. Type of Work: c:Unt ��'i7� f Estimated Cost i 1,ax) Address of Work:. 64 OJN D iS Owner's Name: Date of Application I hereby certify that: Registration is not required for the following reason(s): _ ❑Work excluded by law 7Job Under$1,000 _ Building not owner-occupied[]Owner pulling own permit _ Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE. ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A.. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: � 0 14.300� Date Cotore Registration No. OR Date Owner's Signature Q:wpfileshmis:homeaf day Rev: 060606 ----------- ........ ............ .......... .. ..... a `6015 wwo Y) ....... THIS CERTIkq ISSUED AS MATTE OF I MATION PRODUCER ONLY AND FCICONFERis S NO RIGHTSA UPON THE CERTIFICATE ROGERS .& GRAY INS AGCY I HOLDER. THIS CERTIFICATE DOES NOT AMEND EXTEND OR P 0 Box 309 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANIES AFFORDING COVERAGE ORLEANS MA 02i$53 COMPANY 2en4.7 A THE TgAVFI,pgS-.TNpgMNITY COMPANY INSURED COMPANY SMITH, SEAN C DBA B A & S CONSTRUCTION COMPANY Po Box 1396 C ORLEANS MA 02653 COMPANY D . ........ ...... ..... . . ........ T,HIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE'BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REOUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR DATE(MWDD\YY) DATE(MMDD\YY) GENERAL LIABILITY GENERAL AGGREGATE COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG. $ —1 CLAIMS MADEF__j OC-CUR; PERS I ONAL&ADV.INJURY $ OWNER'S a CONTRACTORS PROT, EACH OCCURRENCE FIRE DAMAGE(Anyone(ire) MEO.EXPENSE(Any one person) AUTOMOBILE LIABILITY COMBINED SINGLE, $ ANY AUTO LIMP ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per Person) HIRED AUTOS NON-OWNED AUTOS BODILY INJURY (Per Accideni) PROPERTY DAMAGE GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY: EACH ACCIDENT AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM EMPLOYERS LIABILITY TOTORY LIMITS WORKERS COMPENSATION AND A (UB-7253AO3-2-06) 02-28-06 02-28-07 STA THEPROPRIETO�UTIVE INCL. EACH ACCIDENT $ PARTNERWEXEC DISEASE—POLICY LIMIT $ s n ()(I(I OFFICERS ARE: RX EXCL DISEASE—EACH,EMPLOYEE OTHER DESCRIPTION OF OPERA-nONSILOCA-nONVVEHICLESfREST.Ric-nONSfSPENAL IT—EMS THIS REPLACES ANY. PRIOR CERTIFICATE ISSUED TO THE CERTIFICATE HOLDER AFFECTING WORKERS COMP COVERAGE. --flim- SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR To MAIL 10 DAYS WMTtEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT,FAlLIJRE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE 4, ........ ACORD. CERTIFICATE OF LIABILITY INSURANCE 03/1 06 PRODUCIER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Rogers&Gray Ins.Agency,Inc ONLY AND CONFERS.NO RIGHTS UPON THE CERTIFICATE 434 Route 134 HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P.O.Box 1601 South Dennis,MA 02660-1601 INSURERS AFFORDING COVERAGE NAIL# INSURED Sean C.Smith INSURER A: One Beacon Insurance Group INSURERS: d/hfa A&S Construction INSURER C: P.O.Box 1396 INSURERD: Orleans, MA 02653 INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITHAESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TYPE OF INSURANCE POLICY NUMBER POLICY POLICY EXL�RAM L 6R DATE II11I/DD DATE 117NtD urars A GENERAL LIABILITY FBI U53263 02/15l06 02/15/O7 EACH OCCURRENCE $300 000 MISE X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $300 000 CLAIMS MADE Q OCCUR, MED EXP(Any one parson) $5 000 PERSONAL&ADV INJURY $300 000 GENERAL AGGREGATE $600 000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOPAGG $600 000 POLICY PRO- LOC AUTOMOBILE LlABLITY COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ ALL OWNED AUTOS BODILY INJURY SCHEOULEDAUTOS (Per person) $. HIRED AUTOS BODILY INJURY NON-OWNED AUTOS (Per accident) PROPERTYDAMAGE $. (Per accidwO GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ RANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESSMNBRELLALIABILITY EACH OCCURRENCE $ OCCUR 'CLAIMS"MADE AGGREGATE $ DEDUCTIBLE RETENTION $ $ WORKERS COMPENSATION AND WC STATU•EMPLOYERS'LIABILTY MIT ANY PROPRIETOWPARTNERIEXECUTIVE E.L EACH ACCIDENT $ OFFICERlMEMBER EXCLUDED? E.L.DISEASE•EA EMPLOYEE $ It yyea,describe tinder SPEGAL PROVISIONS below E.L.DISEASE•POLICY LIMIT $ OTHER DESCRIIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUStONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Please note the Workers Compensation:Certificate will follow shortly as Itis.being sent b the insurance company. CERTIFICATE HOLDER . CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER 1MLL ENDEAVOR TO MAL _UL DAYS YYRR.TEN NOTICE TO THE CERTFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILrrY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHORIZIED REPRESENTATIVE � ��'�� ✓fie �a�vircarcueeaf,�� - _.._ BOARD OF BUILDINGREGULATIONS I � ticense: CONSTRUCTION SUPERVISOR Number .CS 078373 i Birthdate -07/10/1970 Expires 07/10/2008 Tr.not 27778 s .. Restricted:. 00 SEAN C SMITH PO BOX 1396 ORLEANS, MA 02645 C Commissioner � T Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR Registration::_143008 EXpiration: '618/2008 Type:;DBA A&S CONST. SEAN SMITH 257 ROCK HARBOR`RD ORLEANS,MA 02653 Deputy Administrator ^I "� OL ------- - _ - - i0 - -- / � �i�y � way, �� r� d �L� c � � �� So�� ai �+ o a� v u w �; a 0 � '� U ... � � u �, a a� a w ,h C �R HYANNIS FIRE DEPARTMENT 95 HIGH SCHOOL ROAD EXTENSION HYANNIS, MASS. 02601 HAROLD S.BRUNELLE,CHIEF FIRE PREVENTION BUREAU LT. DONALD H. CHASE, JR. LT. ERIC HUBLER Inspector Inspector November 1, 2006 Interstate Services Corporation CIO Albert E. Grady 226 Montello Street { Brockton, MA 02301 Re: 16 Kings Way Dear Atty. Grady, Our engine responded to your property for the residential fire alarm call on October 161h and October 17th. The first night was a good intent call and all was ok. The engine crew reported that on October 17th, there was a distinct smell of fuel oil in the basement and what appeared to them to be a malfunctioning burner on the boiler. I was requested, by the officer on the engine, to do a follow up inspection of the heating unit which was conducted at 10 am on October 24th. With me was a representative of the Board of Health, Alisha Parker, and a representative of the Town of Barnstable Building Department, Paul Roma. Inspection of the boiler.showed a heavy amount of soot and debris deposited in the vent stack as well as a small amount of the same on the floor. This probably accounted for the alarm to activate due to poor firing of the burner. The latest inspection tag on the boiler showed the unit was cleaned on March of 2006. 1 suggested that the tenant, Jan Morgan, contact you to get the boiler cleaned and running correctly. Luckily, the weather is still warm. Inspection of the oil tank showed a large area on the bottom of that tank that had rusted and subsequently had begun to leak through a small hole. The agent from the Board of Health took photos of the tank and the area under the tank. It is essential to take care of the tank immediately as a leak of a Tel. 508-775-1300 Fax 508-778-6448 Emergencies 9-1-1 HYANNIS FIRE DEPARTMENT ' 95 HIGH SCHOOL ROAD EXTENSION HYANNIS, MASS. 02601 =u HAROLD S.BRUNELLE,CHIEF + I FIRE PREVENTION BUREAU LT. DONALD H. CHASE,JR. LT. ERIC HUBLER Inspector Inspector potentially hazardous amount could happen at any time due to weakness of the tank bottom. Condensation inside the tank sinks to the bottom over the years and rusts the tank out from the inside. When the tank bottom is weak, the leaks begin. Thirdly, most of the electric smoke detectors installed throughout the house do not work and seem to be replaced with battery units in the vicinity of the 110v electric ones. The battery ones did work, especially in the basement when our engine company replaced the battery. The electric detectors need the services of your electrician to put them back in service. The Building Department has serious issues with the house specific to the foundation and will address them with you. (508) 862- 4025 The Board of Health has issues with the hazard of the leaking oil and again will address that with you. (508) 862-4645 or (508) 862-4749 If we can be of assistance to guide you in dealing with the tank and other related issues, don't hesitate to contact us. Thank you. Sincerely, Lt. Donald Chase, Jr., FPO Fire Prevention Officer Hyannis Fire Department 508- 775-2373 x18 (voice mail) cc: BOH, BLD, tenant, file Tel. 508-775-1300 Fax 508-778-6448 Emergencies 9-1-1 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 3 Parcel Application Health Division "4 3 1® Date Issued C[ l 1 Conservation Division pplication Feed Planning Dept. 'r�pit Fee Date Definitive Plan Approved by Planning Board v� I- ® Historic - OKH _ Preservation/Hyannis v I(o ILI S Project Street Address WAq ' V Village. (�_2 X t�kt0 ^5tc� V.4E- GOP NX � � jrIC.�-L-f7 Owner Addres a �6VrQNT MA. O2 .1-m Telephone d r Permit Request W wrloL VANA1,;,a rp au C., zruS= W T Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation �Q� Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family. ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑existing ❑ new size_ Attached garage: ❑existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site,plan.review-#�-_ — -_ = Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Telephone Number 506 ?mil`7776 Address Ct2uE7 License # A S • C>2�-' Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO HMO tT_H- -- CAP lDWN S. SIGNATURE DATE 1 t FOR OFFICIAL USE ONLY APPLICATION# i DATE ISSUED l MAR/PARCEL NO. ADDRESS VILLAGE OWNER M r' DATE OF INSPECTION: P FOUNDATION FRAME � • r " INSULATION t z ' FIREPLACE ELECTRICAL: ROUGH FINAL �. PLUMBING: ROUGH FINAL GAS ROUGH ='.}r.~ FINAL � 1 DATE CLOSED OUT ASSOCIATION PLAN NO. f r r The Commonwealth ofMassachusetfs Y Deparfnienf of Industrial Accidents Office of Investigations 600 Washington Street t Boston, MA 02111 sy w ww.m ass.go v/dia Workers' Compensation Insurance Affidavit: Builders/Contract_ors/Electricians/Plumbers Applicant Information / Please Print LeEibly Name (Business/Organization/Individual): ILL 4-0 Address: 11� ctpzte City/Stafe/ZipS. Phone #: 508 " 5�94 Are you an employer?•Check the appropriate box. Type of project(required): l-Prl am a employer with 90 4. ❑ I am a general contractor and I 6 ❑ New construction einployees�(f U and/or paft-dine).* have'hired the sub-contractors.. 2.❑ I am a sole proprietor.or partner- listed.on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g, ❑ Demolition working for me in an capacity. employees and have workers' . g Y P h<• .9.- ❑ Building addition [No workers' comp. insurance comp, insurance.$ required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs-or additions 3.El I am a homeowner doing all work have exercised 11.� g repairs officers d their Phimbin airs or additions myself [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.] t c. 152, §1(4), and we have no employees. [No workers" 1 Otber comp.insurance required.] (AMMO *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they arc doing all work and then hire outside contractors must submit a new affidavit indicating such. tContraetors that check this box must B.Mncrd an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers' compensation insurance for my employees. Below is the policy and jab site information. Insurance Company Name: UuTRA Policy# or Self-ins.Lic. Expiration Date: Job.Site Address: V t City/State/Zip:MA' Attach a copy of the workers' compensation olicy declaration page (showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MCL c, 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to $250.0 a d ainst the.violator. B advised that a copy of this statement may be forwarded to the Office of Investigations f th for nsurance Gov- age verif catio . I do hereby ertr tinA-in and e tie f ry that the information provided above is true and correct. Signature: a Phone# Official use only. Do not write in this area, to be completed by city or town official City or Town: Permit/License# Issuing Authority (circle one): 1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6, Other Contact Person: Phone#: Information and fnStructions .� Massachusetts General Laws chapter 152 requires all employers to provide ,Vorkers' compensation for their employees,, Pursuant to this s.tatule, an employee is defined as ".,.every person in the service of another under any con lrac1 of hire, express or implied, oral or written." An employer is defined as "an individual, partnership, association, corporation or other legal entity or any tw o othe of the foregoing engaged in a joint enterprise, and including the legal representatives of a dcccased employer, Or receiver or trustee of a❑ individual, partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more lban thrce apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, consiniclion or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer.' MGL chapter 152, §25C(6) also slates that "every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant tyho has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7) stales "Neither the commonwealth nor any of its political subdivisions shall entefinto any confract'for 1-heperforrnance ofpublic-work until acceptable evidence of compliance with the ins�Uancc requirements of this chapter have beenpresented to the contracting authority." Applicants Please fill out.the workers' compensation affidavit completely, by checking the boxes that apply to your sitzration and, if necessary,supply sub-contractors) name(s), addresses)and pbone numbers)along with their cerlificate(s) of insurance; Limited Liability'Compariies (LLC)or Limited Liability Partnerships(LLP) with no employers other than the {members orpartners, are not required to carry workers' compensation insurance, If an LLC orLLP does have - employees; a policy is regwred. Be advised that this affidavit may be submitted to the Departmcnt of lodustnal Accidents for confirmation of insurance coverage. Also be sure to sign and date th-e affidavit, The affidavit should be returned to the city or (own Ihat•the applicalion for the permit or License is.being requested,not the Departmenl of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain e,workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line, City or Town Officials ace al the bottom Please begsu'rr,that the affidavit is complete and printed legibly, The Deprtmenl has provided asp of the affidavit for you to fill out in the event the Office oflnYestigations has to'contact you regarding the applicant. Please be sure to fill:'iri�the permiUhcense number which will be used as a,reference number. In ad.dition an applicant that must submit multiple permiUlicense applications in,any'given year, need only subrnit one affida�it indicating current policy information()if necessary)and under"Job Site Address" the applicant should write' al] locations in _(city or town)."-A copy of the affidavit that has been officially stamped or marked by the city or tOWD may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A.new affrdavi IInust be flled oLi t each year. Where a home owner or citizen is obtaining a license or permit not relaled to any busineS sor commerci a) Venture (i,e. a dog license or permit to bum leaves etc.) said person is NOT required to complete this attfidavrl• The Office of lnvesligabons WDL11d 11rCTD nri d r3-0 oac'i Prat;nn and should y4�haye any questions, please do not besitato to give us a call. The Department's address, tclephone and fax number: The Commonwealth of Massachusetts D_ apartment of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Te). # 617-727-4900 ext 406 or 1-877-MASSAFE Fax # 617427-7749 Revised 4-24-07 www.mass.gov/dia Board of Building Regula ons_and Standards One Ashburton Place - Room 1301 Boston, Massachusetts 02109 Home Improvemeri Contractor Registration F- F4 Registration: 132379 Type: Private Corporation Expiration: 1/1 81201 1 Tr# 279547 E.F. PLUMBING & HEATING CO ! I ELISHA WINSLOW �aE 8 REARDON CIRCLE --�----"�--- ---- _ SOUTH YARMOUTH, MA 02664 /Or< �q.��,, � Update Address and return card.Mark reason for change. Address F1 Renewal r—? Employment Lost Card 0 40M.O&OB-MLIFORMCA108212008 �— Board of Building Regulations and Standards License or registration valid for individul use only - HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Board of Building Regulations and Standards Reglstrationa 132379 One Ashburton Place Rm 1301 yu Ez0ii e n=f-t8/2011 Tr# 279547 Boston,Ma.02108 :Ft�vete Corporation > 7, F.PLUMBING'S EATING:&`:INC -A .ISHA WINSLOV.' % !i- -f. C�-c..�c�.• DUTH YARMOUTH,MA 02664 Administrator )?7NPlvalid witho �1re i�o�n�maruuea� o�./ltaaw,�/uaella ' Board of Building Regulations and Standards License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: d Board of Building Regulations and Standards Registration: 132379 One Ashburton Place Rm 1301 = Expiration: 1/18/2011 Boston,Ma.02108 Type: Supplement Card E.F.PLUMBING&HEATING CO.,I UAVID ANDERSON 8 REARDON CIRCLE SOUTH YARMOUTH,MA 02664 Administrator Not valid without signature .,�.N•N•JY Y,V ,�V, •Y��Y •••�YVY�Jl6�N�Y ,. 1 � *= chu.cIIN - Department III'Public �afct% Board iil• Building_ Rc�,ulatimm, and �tantlard-- E License: CS 49405 I Restricted to: 00 DAVID.C ANDERSON �. 34 WINCHESTER DR SO DENNIS, MA 02660 9/10/2010 I ' �Ia••achu.rtt. - Dep:u•tnu•itt (it'Puhlir Satct.� Board of Buildin�� w Rc��ulutiim� and Stand:u•d. Construction supervisor L;cense License: CS 49405 , Restricted to: 00 DAVID C ANDERSON 34 WINCHESTER DR , SO DENNIS. MA 02660 Expiration: 9/10/2010 Tr--: 2806 k .. + ... i Y n 1 " S - 5� x+rsi$9-+ 1 ,-tea u� t ✓ �. .y�Y�trF,�4?..�- � �•�^�*� � �y k y £f._ r t .:.�x�,ff �. t yi � � �i - ^' - � '�'�y'�£,��•��•�}u,rsiF,ei��5•FR L`` i ry ^ryp�tv{r�'.r�' ✓ � a. y a�3 I k Fv Sir y 4 Si ; � a t,: � "`^ ��. }a r a T� •� a �'nh `� r r��'w,��'y�t,-eta � �.+y ,; {t �• ., t r s �. r r'. x>,.. ��.�~ "��.�i.•'.:ec��.�:'..:,�r�', ..;r`� 7�F �� rn�V�.., �rY ��v; ��.�Sva . .. um �a��a ,. .. .,.. _.a.t�:c3°,r.,�s,�G.:�� _..t�....� A CORp DATE(MMIDD/YYYY) .` ,M CERTIFICATE OF LIABILITY INSURANCE., 3 1 2010 PRODUCER Phone: 508-398-7980 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Rogers & Gray Ins. -So. Dennis ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 434 Route 134 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P. O. Box 1601 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. South Dennis MA 02660-1601 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURERA:Peerless Insurance E F Winslow Plumbing & Heating, Inc. INSURERB:Excelsior Insurance Company 8 Reardon Circle _ South Yarmouth MA 02664 INSURERQArrow Mutual " _ INSURER D: ' r INSURER E: - - - COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL.THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADD'L POLICY EFFECTIVE POLICY EXPIRATION LTR POLICY NUMBER M DM DATE(MMIDDIYYI LIMITS A GENERAL LIABILITY CBP9919974 12/1/2009 12/1/2010 EACHOCCURRENCE $1 000 000 COMMERCIAL GENERAL LIABILITY - PREMISES Ea occurence- $10 0 0 0 0 CLAIMS MADE a OCCUR _ _ + • MED EXP(Anyone person) $5 0 0 0 PERSONAL&ADV INJURY $1 000,000 GENERAL AGGREGATE $2 000,000 GEN'L AGGREGATE LIMIT APPLIES PER: y PRODUCTS-COMP/OP AGG $2'•000 000 POLICY PRO- LOC - JECT B AUTOMOBILE LIABILITY BA8218494 - 12�1/2009 1.2/1/2010 COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $1,000,000 ALLOWNEDAUTOS - _ BODILY INJURY $ SCHEDULEDAUTOS - - - (Per person) - HIREDAUTOS - - BODILY INJURY - $ - NON-OWNED AUTOS .. (Per accident) -PROPERTYDAMAGE ° (Per accident) $ GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO - - OTHERTHAN EAACC- $ AUTO ONLY: AGG $ A EXCESS/UMBRELLA LIABILITY CU9 918 8 7 5 12/1/2 O 0 9 12/1/2 010 EACH OCCURRENCE $2 0 0 0 0 0 0 OCCUR ❑CLAIMS MADE " AGGREGATE $2 0 0 0 0 0 0 DEDUCTIBLE $ X RETENTION $10 0 0 0 $ TH- C WORKERS COMPENSATION AND WC1658A 1/l/2010 1/1/20.11 X TORY WC LIMIT ER EMPLOYERS'LIABILITY - ANY PROPRIETORIPARTNER/EXECUTIVE - _ "h � . E.L.EACH ACCIDENT $500 000 OFFICERIMEMBER EXCLUDED? -l E.L.DISEASE-EA EMPLOYEE $5 O O 000 y SPes,describe under ECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $5 0 0 0 0 0 OTHER _. .. - DESCRIPTION OF OPERATIONS ILOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS -: - he certificate holder is listed as an additional insured for ongoing operations when required in writing in a contract, agreement, or permit for bodily injury and property damage on the general liability described above. entral Vacuum is a Division of E F Winslow'Plumbing & Heating, Inc CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED TOWN OF BARNSTA3LE BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE 200 MAIN STREET CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO HYANNIS MA 02601 SHALL,IMPOSE.NO OBLIGATION OR.LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. - AUTHORIZED REPRESENTATIVE ACORD 25(2001/08) ©ACORD CORPORATION 1988 OFFICE USE ONLY FILE/JOB # w:: E.F.WINSLOW 8 REARDON CIRCLE S.YARMOUTI-L MA 02664 Ph:508-394-7778 Fax:508-394-4156 wwwiefwlnslow.com Serving Cape Cod since 1971 ASSIGNMENT AND AUTHORIZATION TO PAY The undersigned, herein called claimant,has authorized and ordered from E.F. Winslow Plumbing&Heating, Inc.the materials and/or services necessary to preserve, protect and secure from further damage,the property listed below as loss site address. Undersigned hereby assigns to E. F. Winslow Plumbing&Heating, Inc. any unpaid proceeds due or to become due, under the claimant's policy with the insurance companyto direct to E.F.Winslow Plumbing pay &Heating, Inc. or to irtciude its name on a check or draft,for all requested work. g 9� It Is fully understood that the claimant is personally responsible for any and gll deductible,depreciation or any costa/charges not covered by insurance. In the event that E.F. Winslow's claim herein is not covered by,or paid by, an insurance company,claimant agrees to pay E.F. Winslow within sbdy(60)days after work has been completed. If payment is not recleved within 60 days,collection action will commence without further notice to the claimant. Claimant understands that E.F.Winslow is working for them and not the insurance company. The liability of E.F.Winslow Plumbing&Heating,Inc. Is expressly limited to the total amount of the services authorized herein and In no event shall E.F. Winslow, its agents or assigns, be liable for consequential damages of any kind. In the event there is a breach by the claimant in which legal proceedings,must be instituted to recover the amount due, E:F. Winslow shall be entitled to recover the cost of collection including reasonable attorney's fees and any other collection expenses:reasonable.and attributable to said breach. Payments remaining due and payable after the claimant has recleved payment from the insurance company shall bear Interest at one and one half(1.5%)percent per month. DATE: PRINT FULL N /SG8N E eZJ,571V BILLING/MAILING ADDRESS CITY STATE ZIP LOSS SITE ADDRESS INS. ADJUSTER&CO. INSURANCE AGENCY INSURANCE CO. f Massachusetts Department of Environmental Protection Bureau of Waste Prevention .Air Quality 1100112559 BW P A Q 06 Decal Number Notification Prior to Construction or Demolition Important: A. Applicability When filling out PP tY forms on the computer,use only the tab key A Construction or Demolition operation of an industrial, commercial, or institutional building, or to move your residential building with 20 or more units is regulated by the Department of Environmental Protection cursor-do not use the return (DEP), Bureau of Waste Prevention-Air Quality Control Regulations 310 CMR 7.09. Notification of key. Construction or Demolition operations is required under 310 CMR 7.09(2)ten(10)days prior to any work being performed. The following information is required pursuant to 310 CMR 7.09. J � B. General Project Description� 1. a. Is this facility fee exempt-city, town, district, municipal housing authority, owner-occupied Instructions residence of four units or less?0 Yes _❑No 1.All sections of b. Provide blanket decal number if applicable: Blanket Decal Number this form must be completed in order to comply with the 2. Facility Information: Department of ALBERT GRADY-INTERSTATE SERVICE CORPORATION Environmental Protection a.Name notification 16 KINGS WAY requirements of b.Address 310 CMR 7.09 H annis MA I02601 c.Citv/Town d. to a Z'o Code 5083947778 restoration@efwinslow.com f.Teleohone Number(area code and extension) E-mail Address(optional) 2257 3 h.Size of Facility in Square Feet i.Number of Floors j. Was the facility built prior to 1980? ❑✓ Yes ❑ No k. Describe the current or prior use of the facility: BSMT/2 FLR-LAW OFFICE/1 FLR-RENTAL SPACE I. Is the facility a residential facility? ❑ Yes ✓❑ No �o m. If yes, how many units? Number of units �O 3. Facility Owner: �N ALBERT GRADY-INTERSTATE SERVICE CORPORATION �O a.Name �c 226 MONTICELLO STREET b.Address BROCKTON I MA 02401 �0 c.C' /Town d.State R.Zip Code �0 7818378040 f.Tele hone Number area code and extension) o.E-mail Address(optional) sa BUILDING UNOCCUPIED/VACANT AT MOMENT s �Q h.Onsite Manager Name ag06.doc•10/02 BWP AQ 06•Page 1 of 3 f Massachusetts Department of Environmental Protection Bureau of Waste Prevention .Air Quality 1100112559 � Decal Number BWP AQ 06 Notification Prior to Construction or Demolition General Statement: If �B. General Project Description cunt. asbestos is found during a 4. General Contractor: Construction or Demolition E.F.WINSLOW HEATING&PLUMBING COMPANY, INC. operation,all responsible parties a.Name must comply with 8 REARDON CIRCLE 310 CM 7.00, b.Address 7.15,and Chapter 21 E of the SOUTH YARMOUTH MA 62664 Chapter General Laws of c.C /Town d.State e.Zip Code the commonwealth. 15083947778 restoration@efwinslow.com This would include, f.Tele hone Number area code and extension .E-mail Address o iona but would not be limited to,filing an JDAVID ANDERSON asbestos removal h.On-site Manager Name notification with the Department and/or a notice of release/threat of release of a C. General Construction or Demolition Description hazardous substance to the 1. Construction or demolition contractor: Department,if applicable. E. F.WINSLOW a.Name 8 REARDON CIRCLE b.Address SOUTH YARMOUTH MA 102664 c.C' /Town d.State e.Zip Code 5083947778 restoration@efwinslow.com f.Telephone Number area code and extension) g.E-mail Address(optional) DAVID ANDERSON h.On-site Manager Name 2. On-Site Supervisor: DAVID ANDERSON On-Site Supervisor Name 3. Is the entire facility to be demolished? ® Yes 0 No N �o 4. Describe the area(s)to be demolished: �o BUILDING HAD A WATER DAMAGE MINOR INTERIOR DEMO �N �0 �0 5. If this is a construction project,describe the building(s)or additions)to be constructed: NO RECONSTRUCTION PER OWNER! DEMO OF INTERIOR �o e �o �Q. ag06.doc r 10/02 b BWP AQ 06•Page 2 of 3 L r Massachusetts Department of Environmental Protection ■ Bureau of Waste Prevention . Air Quality 100112559 BWP AQ 06 Decal Number Notification Prior to Construction or Demolition C. General Construction or Demolition Description (cont.) 6. a. If this is a demolition project, were the structure(s)surveyed for the presence of asbestos containing material(ACM)? ❑ Yes ❑✓ No If yes,who conducted the survey? b.Survevor Name c.Division of Occupational Safety Certification Number 9/17/2010 1912712010 7. Construction or Demolition: a.Start Date(mm/dd/yyyy) b.End Date(mmldd/yyyy) 8. a. For demolition and construction projects, indicate dust suppression techniques to be used: ❑ seeding ❑ paving b. If other, please specify: ✓❑ wetting ❑ shrouding ❑ covering ❑ other 9. For Emergency Demolition Operations,who is the DEP official who evaluated the emergency? a.Name of DEP Official b.Title c.Date(mmld!gypno of Authorization d.DEP Waiver Number D. Certification I certify that I have examined the DAVID ANDERSON �1=1111110 above and that to the best of my a.Print Name �o knowledge it is true and complete. The signature below subjects the b.Authorized signature �N signer to the general statutes CONSTRUCTION SUPERVISOR �o regarding a false and misleading c. Position e �o statement(s). E.F. WINSLOW HEATING& PLIMBING COMPANY, INC. ® d.Representing Ito e.Date(mmldd/yyyy) �O ■ agO6.doc•10102 BWP AQ 06•Page 3 of 3■ Town of Barnstable y �°^ Regulatory Services 9BAMST°'BI'E' Thomas F. Geiler, Director E16 9. 0. Building Division Thomas Perry, CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 October 26,2006 Mr.Albert E. Grady 226 Montello St. Brockton,MA 02301 RE: 16 Kings Way,Hyannis,MA Dear Mr.Grady: At the request of the Hyannis Fire Department,this office conducted an inspection of your building at 16 Kings Way on October 24,2006. The inspection resulted in several serious matters which must be corrected.The foundation was cracked and bowed, the girt was cut and twisted,and the support columns were rotting and/or resting on broken cement. Pursuant to CMR 780,sections 121.2 and 121.3,you must obtain the necessary permits and affect the repairs immediately.These repairs must be completed by November 24,2006. Your prompt attention to this matter is appreciated and if you have any questions please do not hesitate to contact this office. Sincerely, Paul Roma Local Inspector east cape engineering, inc. 44 Route 28 P.O. Box 1525 CIVIL ENGINEERING Orleans, Mass.0265.3 LAND SURVEYING WATER RESOURCES LAND COURT ENVIRONMENTAL 508-255-7120 SITE PLANNING SANITARY CERTIFIED PLANS STRUCTURAL Fax 508-255-3176 WATERFRONT January 8, 2007 Mr. Sean Smith A&S Construction P.O. Box 1396 Orleans, MA 02653 RE: Foundation Repair, 16 Kings Way, Hyannis Dear Mr. Smith, East Cape Engineering, Inc was retained by you to review and design the foundation repair for the cracked foundation at 16 Kings Way in Hyannis. East Cape Engineering reviewed the proposed plan, designed the required construction requirements and provided annotations on the plan and stamped it. Based upon our discussions and construction review, we have determined that the foundation repair was constructed in accordance with the stamped design plan. If there are any questions, feel free to give me a call. "OF Sincerely, MARKM- ENZIE m w Mark A. McKenzie, P.E. L Treasurer, East Cape Engineering, C. INTERSTATE SERVICES CORPORATION C/o ALBERT E. GRADY 226 MONTELLO STREET BROCKTON, MA 02301 TEL: 508-583-8562 October 5, 2006 Ms. Jan Morgan 16 Kings Way Hyannis,MA 02601 RE: 16 Kings Way Dear Jan: Dear Ms. Morgan: I thank you for your checks for August,and September they were found and deposited this I have now received our letter of October 3 2006 with our$211.00 payment for rent for week. y � Y F Ym October. I am sorry for any misunderstanding that developed. Understand,please,that it is difficult for me to have a residential tenant in the first floor at 16 King's Way. I would need to ask for more than double the existing rent to fix up the place and to have Mr. Mackinaw paid to supervise and take care of sundry matters. I tried to rent the second floor to create money to carry the building. As you know,we had no success in finding a commercial tenant. I did receive a call on Wednesday evening from Karen Caraco who is considering renting you property in Dennisport. I did give you a positive recommendation. I wish you well. Very truly yours, Albert E. Grady, re 'd Interstate Service rporation AEG/jas I IlI f i JF AGO - k tO °' I elo s all CIO lot 00 EX4 F , a - vJ ' • ` God' � tJQ Li IMP dorr�o� 1- ex� Jrb� s O Tti l�ra�•�t.- -t'o e& s k- op c af= w r u_ 1b � 1 r N U . i of 6 70 xI Sri w6 2 r G o -:MAR McKENZIE �ipTl � Go to nTr v>uc o. ssroN i ()OA� pn utE: AvvROVEo BY: S N 1.�, REVISED DATE. K\opis DRAWING NUMBER